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Cholera: ED presentation, evaluation, and management

EMDocs

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Surgical wound debridement and dressing are performed and the malaria rapid diagnostic test (MRDT) is noted to be positive. She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 92 Refugee patients with SAM, dehydration, or shock should be admitted for further management.