Internally Peer Reviewed 3-26. Treatment a. Triage Categories . The triage categories vary according to the severity of disease and available resources. If ribavirin is not available, these patients are placed in the Delayed category. Other patients with hemorrhagic fevers may be classified as Delayed or Expectant categories.
Patients require treatment for shock, blood loss, renal failure, seizures, and coma.
Treatment may include intensive care and specific interventions such as mechanical ventilation, dialysis, and neurological support. The use of intravascular devices must be carefully considered in the context of potential benefit versus the risk of hemorrhage. Surgical interventions should not be withheld if indicated. Specific antiviral therapy is limited. For HFRS, therapy may benefit patients who have been febrile for 6 days or less.