Document Detail

Ambulatory physiological status monitoring during a mountaineering expedition.
MedLine Citation:
PMID:  11143435     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate an ambulatory physiological monitoring system during a mountaineering expedition. We hypothesized that the Environmental Symptoms Questionnaire, combined with frequent measurement of oxygen saturation and core temperature, would accurately identify cases of environmental illness. METHODS: Twelve military mountaineers took a daily Environmental Symptoms Questionnaire, monitored fingertip oxygen saturations, and recorded core temperatures while climbing a 4,949-m peak. Illnesses identified by the system were compared with those identified by spontaneous reports. RESULTS: The system correctly identified one case of high-altitude pulmonary edema and two illnesses that were not reported to the physician (one case of acute mountain sickness and one of self-limited symptomatic desaturation). However, it did not identify two illnesses that were severe enough to preclude further climbing (one case of sinus headache and one of generalized fatigue). CONCLUSIONS: Our monitoring system may complement, but cannot replace, on-site medical personnel during mountaineering expeditions.
L A Sonna; J E Kain; R W Hoyt; S R Muza; M N Sawka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  165     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-19     Completed Date:  2001-01-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  860-6     Citation Subset:  IM    
Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA 01760, USA.
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MeSH Terms
Altitude Sickness / diagnosis*
Body Temperature
Military Personnel*
Monitoring, Physiologic*
Mountaineering / physiology*
United States

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