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On arrival to the ED the patient’s initial vital signs are temperature 38.5C, BP 102/48, HR 106, RR 20. Coagulopathy: Parenteral vitamin K and/or fresh frozenplasma (FFP) as clinically indicated. She was initiated on deferoxamine and admitted to the ICU. 10 Maximum daily dose of 6-8g total of defuroxamine.
ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. Labs Laboratory workup in the ED is notable for a leukocytosis of 41,000/L, hemoglobin of 6.5 She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.
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