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File: 123096_sep96_decls23_0006.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
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 in-
stituted. Congo-Crimean Hemorrhagic Fever may be readily trans-
A. Obtain blood
mitted to hospital personnel, with lethal consequences. The
following algorithm is designed to prevent lethal oversights in tus I malaria sme
the initial management of acutely ill febrile patients in the thick and t
Middle Eastern environment, 2. blood cultu
3. CBC
4. coagulation
studies
5. chemistries
include:
a. BUN, creati-
nine, glucose,
electrolytes
Possible CCHF;insti- b. liver assoc.
tute strict isolation enzymes
including respiratory c. bilirmbin
contact, and bodily B. Obtain urine for
fluids until diagnosis culture, urinalysis
clarified; consider
prophylaxis of exposed
personnel; consider ic
ribavirin treatment. demaii
Also consider
meningococcemia.
s
1. Initiate therapy
simultaneously with Es
r
obtaining history, CSF
exam, and clinical u1
specimens for
laboratory.
2. Place 2 large bore Administer
(@ 16 ga) IV lines to cover mei
administer I - 2 1
of normal saline or
@SAP
3
2
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
Document Seq # = 1
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 = 17-DEC-1996