Kenny became interested in high-altitude Illness after experiencing HAPE-like symptoms just below Donahue Pass at 9,600 feet. The symptoms occurred after he had successfully acclimated at 8,000 feet.

He wanted some specific advice on how to successfully acclimatize and surveyed the net. He began to focus on the resources available from Wilderness Medicine Society; in particular the journal, Wilderness & Environmental Medicine. In order to get answers to his specific questions, he sent queries to researchers who had published in the journal. Luckily Dr. Leslie Rozier (DNP, APRN, FNP-BC), responded and sent along invaluable advice.

After a few email exchanges between Dr. Rozier and Kenny, it seemed that the information might be of interest to others. They agreed to collaborate on this unofficial guideline.

The first version of the guideline was posted in October 2014. Inga Aksamit (RN-BC) provided several excellent suggestions for how this initial version could be improved. She subsequently became a key contributor to the version that was posted in November 2014.

Banner Peak from Island Pass, Ansel Adams Wilderness
Photo by Inga Aksamit


  1. Sounds af if Kenny went thru similiar process as myself. My search led to Altitude Conference & writing my article: Altitude sickness: JMT Case Study

    Very good article you all wrote enjoyed it. Solid recommendations.

    1. Hi Doug. Thanks for your comment. Sorry to hear about your experience. Mine was no picnic. On the bright side, I've discovered the cause and hope to get back to altitude this summer. Hope you're able to head back up.

      I did read your excellent article a while back. (Even left a comment back in '15.) Hopefully you'll take up the topic again as a way of promoting community awareness.

      regards, Kenny