SESK: Stuff Everyone Should Know · sesk.info/ski-altitude-hace-signs
Confusion and trouble walking straight at altitude may signal what?
HACE, swelling of the brain.
- HACE, swelling of the brain ✔
- Normal tiredness
- 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.
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.
- 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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