GENERAL APPROACH TO HACE

During the mission planning phase, prioritize risk mitigation strategies. Embedded providers should remain vigilant in surveillance of severe AMS and symptoms of HACE among their troops as well as themselves. Carefully monitor and treat those with severe AMS, watching for progression towards HACE. HACE is life- threatening; emergency evacuation should be a priority. Use pharmaceuticals and adjuncts listed above to begin treating HACE while coordinating evacuation. Do not delay evacuation for the aforementioned therapies. Treatment and evacuation efforts should be aggressive.