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First Aid - part 9
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Though the above-named methods may prove beneficial the most dramatic relief is obtained with the use of one of the many ophthalmic Cortisone preparations. As this steroid hormone inhibits inflammatory processes and fibrous tissue proliferation, it is a logical choice in such a condition where the main pathological reaction is inflammation of the cornea from a photochemical burn. With one or two applications of the ointment placed on the retracted lower eyelid, the symptoms are dramatically relieved in eight to ten hours. Though snow blindness is not seen frequently, when it does occur it can be
totally disabling, and this method of treatment is excellent. Of course, adequate eye protection from the glare is of utmost importance and should be provided for all directions around the eye.
General Considerations: Though knowledge of the foregoing First and Second Aid measures have pertained particularly to injuries, there are other misfortunes that may be encountered. Such may be a severe respiratory infection or pneumonia or a heart failure or to a lesser degree a heart strain.
In recent years a condition called High Altitude Pulmonary Edema has been described. It is probably a form of heart failure that is brought on by rapid exposure to high altitude and oxygen lack. It is characterized by the rapid onset of extreme fatigue and shortness of breath usually occurring within a day or two after ascending to altitudes above 10,000 feet. Symptoms progress rapidly to include a dry cough and difficulty in sleeping, especially in the flat position. The individual may want to sit up because his breathing becomes noisy and bubbling and his cough productive of frothy sputum. Usually the pulse is rapid, the temperature is normal, and the patient appears acutely ill. The skin color may be pale or have a bluish tinge. In this condition the patient has often been considered to have a pneumonia and the true diagnosis has only recently been recognized.
Treatment must be prompt and the patient gotten to a lower altitude as quickly as possible. Oxygen if available should be given by mask. Antibiotics are indicated as the diagnosis can not readily be distinguished from a pneumonia and secondary infection can be controlled. Other drugs and methods of treatment are best reserved for the discretion of a physician.
In general, mountaineers should be aware of this condition and adequate time should be taken in gradual ascent to allow the process of acclimatization to occur. The possibility of one of these problems occurring depends basically on the general condition of the individual prior to his participation on an outing. Preliminary conditioning should be taken seriously in order to prevent extreme exhaustion which may otherwise occur. Any preliminary respiratory infection should contraindicate participation in any extended mountaineering adventure. Routine physical examinations are advised and in this way serious problems may be avoided. Sufficient rest, even if the common sleeping capsules are needed, and adequate fluids, amounting to at least six pints a day, are two very important measures for good health. Needless to say, for these serious problems prevention is easier than treatment, which for all practical purposes is transportation to medical care.
Related terms include skiing resort and midwest skiing.
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