Difficult Decisions at Altitude: The Management of an Acutely Dyspneic Porter at 5000 Meters

Fionn Bellis; Richard Parris; Douglas Thake; Paul Richards

doi:10.1580/PR27-04.1

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Fionn Bellis,¹ Richard Parris,¹ Douglas Thake,¹ Paul Richards¹

¹From the Emergency Department, Derriford Hospital, Plymouth, UK (Dr Bellis); Royal Bolton Hospital,

Abstract

We report a case of a porter who presented with acute dyspnea during an expedition in Nepal at 5000 m above sea level. We present the difficulties involved in making the correct diagnosis in this patient under austere conditions and discuss the difficult decisions that must be made in caring for such a patient.

Citation Download Citation

Fionn Bellis, Richard Parris, Douglas Thake, and Paul Richards "Difficult Decisions at Altitude: The Management of an Acutely Dyspneic Porter at 5000 Meters," Wilderness & Environmental Medicine 16(4), 212-218, (1 December 2005). https://doi.org/10.1580/PR27-04.1

Published: 1 December 2005