High Altitude Cerebral Edema (HACE) Clinical • Encephalopathy • Ataxic gait • Severe lassitude • Progressive decline of mental function and consciousness Management • Requires immediate intervention • Descent is definitive (best when patient is still ambulatory) • Dexamethasone (rescue medication) • Supplemental oxygen • Hyperbaric therapy #HACE #High #Altitude #Cerebral #Edema #Diagnosis #Management #Wilderness