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What are HAPE and HACE? | High Altitude Pulmonary Edema | Cerebral Edema | Symptoms | Treatments
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- Опубліковано 21 кві 2016
- HAPE (High Altitude Pulmonary Edema) and HACE (High Altitude Cerebral Edema) are two advanced forms of altitude sickness. These are both serious illnesses and immediate action will have to be taken. In this video, Sandhya explains the importance of identifying the illnesses and treating them.
Please note that we have not included equipment like oxygen cylinders in the video because not all trekkers have access to this equipment on a trek. We are only talking about three basic medicines, Diamox (Acetazolamide), Dexamethasone and Nifedipine.
The instructions in the video are based on real-life experiences and years of high altitude studies. Download the video onto your phone to make better use of it on your trek.
To know more about High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE), click here - indiahikes.com/altitude-sickn...
To read case studies about Acute Mountain Sickness, HAPE and HACE, click here - indiahikes.com/category/altitu...
How to treat AMS, HAPE and HACE - indiahikes.com/treat-altitude...
How Diamox deals with Acute Mountain Sickness - indiahikes.com/benefits-of-us...
To download a manual on Acute Mountain Sickness, click here - indiahikes.com/wp-content/upl...
Should you take Diamox on your trek - • Should you take Diamox...
What are HAPE and HACE - • What are HAPE and HACE...
What is HACE and how do you treat it - • What is HACE (High Alt...
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I am watching this video from North Carolina U.S.A. I suffer from AMS. Thank you for making clear and detail videos. It was really comforting. My anxiety was all over the place.
Hope this helps you the next time you're hiking! All the best!
I have seen my friend dying because of mixed HAPE and HACE just 20 days back on the EBC trail. It is very strongly advised to anyone going on a trek to administer yourselves with Diamox and avoid Alcohol and smoking till you complete the trek. It is not necessary that you have to complete the summit when you start feeling ill because life is more precious than a summit. Put your egos aside and start informing about your health conditions to your partners so they act swiftly. Do not hesitate to opt for rescue services just because they are premium. Your life is much precious than the money you earn.
Raheem Mohammad EBC trek: what is the expanded form of this abbreviation ?
Everest Base Camp
srinath tata thank you
that's so bad :'( thanks for the words of advise!
Thank you for talking about these very important issues.
If I am not wrong, Diamox and Nifedipine have the same purpose: to reduce the blood pressure (BP). The BP increases to provide more oxygen to the brain, leading to AMS and later HAPE/HACE. Neither of the two medicines can actually help acclimatize: they are temporary solutions, as Sandhya mentions. However, one of the two is enough, not both. Also the course needs to be completed once started.
no climber at all but this seems to be very good content 💐
Thanks for the information I just came close to death because of these sicknesses HAPE and HACE we took a vacation to south fork colorado and I was absolutely fine for 2 days and all of a sudden in intensive care in a hospital near south fork and then they didn't know what was going on so I was careflighted to pueblo Colorado and they helped me greatly
Hey Swathi, You guys have very informative content and presented in a concise way that can be easily comprehended. Glad if you could post about a workout series especially catering to avoid AMS and other two conditions.( Dunno you've already done that. My apologies if that is the case) .Cheers
That's on the cards! :)
Hey.. I m planning to go in a winter trek... I have diabetes and sinus problems.. my sugar is in control... No issues.. what do you suggest.. ??
Thanks for sharing such a great piece of information
Glad it helps :)
Hey Sandhya,
Can you post something on people suffering from sinus and their remedy during the trek (like nose blockage and breathlessness etc), plus can you suggest wether carrying heavy backpack ( like camera and other stuffs ) can increase the chance of breathlessness and AMS in the later stage??
Hey swati, i am planning a road trip to lah (4 wheelers) - pangong lake and planning night stay. So do i need to keep precautionary medicine for HAPE and HACE or Diamox is enough?
Nice sister good information
As it all happens due to low availability of oxygen can we stabilize the sufferer with suppliment oxygen. And then descend?
Yes, that's correct. We always have oxygen cylinders with us for emergencies at Indiahikes. We use it to bring up the oxygen while evacuating trekkers to lower altitudes, when required.
Hey Swati, Thanks for this very informative video. Here you have talked of treatment of HAPE and HACE, could you please elaborate how to prevent it? Like what measures should be done before starting a trek in order to reduce chances of HAPE or HACE? Thanks
Hi Gagan, there are a few things you can do to avoid AMS, HAPE and HACE. Two of the basic things are to keep yourself well-hydrated - drink 5-6 litres of water everyday. Next, gain altitude slowly, give yourself enough time to acclimatise. Going to a higher campsite and coming back down to spend the night wherever possible will help. Of course, you can also take a preventive course of Diamox if you're going on a trek that gains altitude too quickly. That will definitely help!
Thank you.
Ex.can I get a PDF form of First Aid lectures and preservation of ecology with photoes. Puri
Would you recommend people with weak heart or people who had a stroke before to avoid any high altitude trek?
Hey Swati..I would like to know how to prevent thhose hape and hace.. because prevention is better than cure
THANK YOU
thank you for info
at 2790m?
You guys discussed about the alcohol but what about the weed?
thanks for the useful information :)
Why do these interviews seem so highly formal as opposed to usual informal interviews.. i love their channel though..but the interviewer seem too uptight. But its what it is..good work with the channel..
Please be thorough with the information what you guys portray regarding hazards. Provide statistics which are evidence based and not sheer on experience.
Would prefer a medical person talk about such issues.
Hi Sachin, if there were any AMS or HAPE/HACE-related statistics recorded in the Indian trekking scenario, and if there were experts in this field, there wouldn't be so much lack of knowledge about the topic. There is very little or no study done about high altitude illnesss and medication in India. Whatever knowledge we have is from seeing and handling cases first hand and also from extensive research on the topic and extensive chats with the co-inventor of the HAPO bag. If you do know of a medical expert in India, who can talk about high altitude illnesses and medication from experience and expertise, do let me know.
Hey Swathi
Hope your doing well, I have watched your video in UA-cam regarding HAPE and HACE it was awesome and full of information.
Swathi as i planned to go for Kedarkantha Trekking in December but I m suffering from Hyperthyroidism and taking medicine from last 1 months and improving my self, can u suggest me weather I have to go or not. Because I don't want to miss this trekking.
I hope you will reply me I am waiting for your suggestions and reply.
Thanks
Hi Shashi, it's wonderful that you're considering trekking. And take it from us, there's nothing better than a good amount of exercise for any thyroid-related problem.
It shouldn't be a problem for you to trek. Just consult your doctor once.
Start off with an easy trek. We cover just around 6 km a day on our easy-moderate treks. I think Dayara Bugyal would be the best place to test the waters. :)
thanks a lot for such info , During road trip ( Leh in 4 wheeler) can all these tips are helpful or should I take more precautions..? please advise
Hi Sanjay you can use the same precautions for your trip to Leh. :)
going on a solo trek to devroopa which is at 14000ft. what all medicines should I carry except for general first aid?
Hi Jaidev, since you're traveling solo, please take a look at our detailed guide on what medicines to take for your trek, here - indiahikes.com/things-to-take-himalayan-trek/#medicines
Good luck on your trek :)
@@Indiahikes thank-you 😊
Hi , Swati , pls advice , I m from Delhi , planning to go leh first time solo via Hprtc bus .....I m 38 yr old ,but after this video regarding AMS , Hape or HASE I m scared....shud I go n if yes ..than what imp things I shud carry n what precaution shud I take ..I m smoke too....pls guide
Hi Anand, if you're going just to Leh, you have nothing to worry about. Just carry diamox with you and take it if you feel any altitude sickness symptoms. You should be fine. :)
hello Swathi i just saw your video about AMS , HAPE & HASE , im planning to do the Leh trip by motorcycle and i would like to know if their is anything i can do before this trip to prevent AMS , HAPE & HASE to complete this trip without any problems ?, thank you.
Hi Mohammad, a good idea would be to go on a preventive course of Diamox.
You'll find all the information you need about it here - indiahikes.com/prevent-altitude-sickness/
@@Indiahikes thank you for your reply, i'll check the information.
is it advisable to take (I heard or might have read tt somewhere) to take DIAMOX a day prior to trek?
Yes, it is advisable as per my experience being a trekking guide.
what about smoking? is it affect same as alcohol?
Hi Aminul smoking is out of question. It is much worse than alcohol. So don't even consider it.
I had hape at only 6000 to 6500 feet
Alcohol aggravates the situation and further detoriate the condition. I have expirence racing heart rate, palpitations funny stomach and many other symptoms on my visit to Sangla and Chitkul. Therefore anybody who is reading kindly get yourself away from the monk or at least drink plenty of water as it does keep you dehydrated for the rest of the day.
Can u explain some more on hape
DEX to the rescue everytime! :P
I randomly behave illogically :P Damn I have to control that now :P :P
Hey Sandhya,
Can you post something on people suffering from sinus and their remedy during the trek (like nose blockage and breathlessness etc), plus can you suggest wether carrying heavy backpack ( like camera and other stuffs ) can increase the chance of breathlessness and AMS in the later stage??
Bro did you find answer of this question please tell me bro 🙏