The summit offers spectacular views of Mt. Rainer, Mt. Hood and Mount St. Helens. Nearly everyone who climbs Mt. Adams will be affected to some extent by the change in altitude, and all climbers need to be aware that altitude sickness can pose a very real threat. Slow down to reduce the body's demand for oxygen. Make a conscious effort to breathe deeper and faster. In more severe cases, give oxygen, if available.
Awareness is the only way to catch early symptoms.
Go up slowly, taking time to acclimate to the higher elevation. Smokers and anyone using depressant drugs are more apt to suffer from altitude difficulties. Rolling rocks are a hazard in certain areas, particularly during the latter part of the summer. Heed the first signs of weather changes, darkness, loss of route, and fatigue while you can still place yourself in a protected and secure position. Always maintain visual contact with the person in front of you and the person behind you.