The Golden Rules
If you've been paying attention to the tutorial so far, these will be
familiar. If there is a nugget of knowledge to take away from this
tutorial, here it is:
GOLDEN RULE I:
If you feel unwell at altitude it is altitude illness until proven
GOLDEN RULE II:
Never ascend with symptoms of AMS.
GOLDEN RULE III:
If you are getting worse (or have HACE or HAPE), go down at once.
Questioning Your Porters About AMS Symptoms
If you hire your own porters, please be aware that they are just as
susceptible as you to the ravages of AMS. Porters may even be at
increased risk of severe forms of altitude illness as they are unlikely
to know anything about AMS, are more likely to have a communication
barrier to telling you how they feel, and may actively hide their
symptoms as they fear losing their job due to illness. For those of you
who will be trekking in Nepal, please look at the AMS questionnaire with
phonetic Nepali translations (based on the Lake Louise AMS scoring
criteria). For more information, also look at the
Protection Group's web site.