Confusion and trouble walking straight at altitude may signal what?

HACE, swelling of the brain.

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  1. HACE, swelling of the brain ✔
  2. Normal tiredness
  3. Snow glare

Why: HACE brings confusion, drowsiness and loss of balance. This is an emergency that calls for descent and help, not a nap.

Huh, didn't know that: CDC notes HACE can progress to coma within 24 hours of onset.

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Why did the girl keep her trumpet out in the snow? She liked playing cool jazz.
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References

Answer: HACE, swelling of the brain. HACE brings confusion, drowsiness and loss of balance. This is an emergency that calls for descent and help, not a nap.

  1. CDC Yellow Book: High-altitude travel and altitude illness www.cdc.gov/yellow-book/hcp/environmental-hazards-risks/high-altitude-travel-and-altitude-illness.html
    HACE presents with neurological findings, particularly altered mental status, ataxia, confusion, and drowsiness.
    Checked 2026-10-10.

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