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. 2026 Sep 2;394:e100532. doi: 10.1136/bmj-2026-100532

Table 2.

Summary of the risk stratification scheme, as recommended by the WMS 2024 guidelines1

Risk of developing altitude illness Risk criteria
Low risk All of the following:
• History of no or mild AMS (in those with prior travel to high altitude)
• Will sleep at altitude <2800 m on day 1 of the high altitude travel
• Will not ascend more than 500 m per day above 3000 m
• Will have one extra day for acclimatisation after every 1000 m of ascent
Moderate risk Any of the following, without any high risk features:
• History of moderate or severe AMS
• Will sleep at altitude 2800-3500 m on day 1
• Will ascend more than 500 m per day above 3000 m, but has extra days for acclimatisation after every 1000 m of ascent
High risk Any of the following:
• History of HACE/HAPE
• Will sleep at altitude >3500 m on day 1
• Will ascend more than 500 m per day above 3000 m, without keeping any extra day for acclimatisation after every 1000 m of ascent

AMS=acute mountain sickness; HAC=high altitude cerebral oedema; HAPE=high altitude pulmonary oedema