Ama Dablam is one of the toughest mountains for high-altitude climbers. It’s also one of the toughest for rescue operations. The high winds, rapidly changing weather conditions and troublesome terrain prevent some helicopter rescues from landing and, instead, requiring a long-line rescue – a rapid rescue response used in remote, high-angle terrain. When a member was on his descent after summitting Ama Dablam he was struggling to breathe, had difficulty with his motor functions, and could barely speak, according to a member of the expedition team who contacted Global Rescue. The medical operations team evaluated the member who was showing signs of altitude mountain sickness in addition to losing his ability to work with safety equipment. Global Rescue medical operations authorized an immediate airborne evacuation which would require a long-line rescue from Ama Dablam Camp 3 to a hospital in Kathmandu. The member was safely transported to the hospital where he was admitted overnight, treated with IV fluids, bronchodilators and antihistamine. He was discharged with a diagnosis of HACE, HAPE, dehydration, and upper respiratory tract infection, and prescribed medications.