Management

Prehospital Care
-Initiate supportive therapy
-Intravenous (IV) crystalloids, as needed to keep systolic blood pressure above 90 mm Hg
O2, empirically

Emergency Department Care
-Supportive therapy
-IV access, O2, and monitoring are helpful.
-IV crystalloids may be necessary for hypotension; central line may be needed.
-Correct electrolyte abnormalities and acidemia.
-Implement therapy for DIC if indicated.
-Corticosteroids are not helpful.No antiviral therapy is available