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File: 102596_sep96_decls2_0008.txt
Subject: DIARRHEAL DISEASES
Unit: VAR. BUMED
Parent Organization: BUMED
Box ID: BX303811
Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1
Document Number: 16
Folder SEQ #: 2
Approach to the Acutely Ill Febrile Patient
A number of infectious diseases found in the Middle East may be
rapidly fatal if specific therapy is not immediately instituted.
Congo-Crimean Hemorrhagic Fever may be readily transmitted to
hospital personnel, with lethal consequences. The following
algorithm is designed to prevent lethal oversights in the initial
management of acutely ill febrile patients in the Middle Eastern
environment.
Acutely ill febrile patie
T> 101.5 Dog F, 38.5 De
Pete.hiaer purpuri f PossiDle CCHF;ins-
ecchymoses YES@ strict isolat@
and/or jaundice pi including respira@
contact, and bod.
fluids until diagi
clarified; consi
NO prophylaxis of e
personnel, consid(
ribavirin treatmei
Also consider
Hypotensive meningococc
NO YES 1. Initiate theraov
simultaneously w@h
obtaining history,
exam, and clinical
specimens for
laboratory.
2. Place 2 large bore
nes,
administer 1-2 liters
of normal salino o
lactated Rangers AS
98
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Document 28 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/diarrheal diseases:1018961450003
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303811
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS NAVAL MESSAGES FOLDER 1
Folder Seq # = 2
Subject = DIARRHEAL DISEASES
Document Seq # = 16
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996