Cases in Simulated Disaster Medicine | Chapter 23

Document Type

Book Chapter

Publication Date

2-6-2026

Editor

Andrew Milsten and John Broach

Abstract

In this case scenario, a 55-year-old male presents with symptoms of Ebola virus disease (EVD) after returning from a medical mission in West Africa. The patient reports fever, chills, myalgias, nausea, vomiting, diarrhea, and one episode of bloody stool. Upon arrival, he is in septic shock with tachycardia, tachypnea, hypotension, and lethargy. Immediate resuscitation with IV fluids and vasopressors is initiated. As his condition worsens, he develops respiratory failure and pulmonary edema, requiring intubation. Laboratory findings indicate leukopenia, thrombocytopenia, transaminitis, coagulopathy, and metabolic acidosis, which are consistent with EVD. The patient is placed in isolation due to the suspicion of Ebola, and the case is reported to state and local health departments. The scenario emphasizes the importance of fluid resuscitation, hemodynamic support, appropriate PPE for Ebola management, and timely intubation, while discussing the management of exposure risk to clinical staff and follow-up procedures.

First Page

161

Last Page

165

Chapter Title

Chapter 23 - Critical Management of Ebola Virus Disease in the Emergency Department

Publisher

Cambridge University Press

ISBN

[9781009279024, 9781009279017]

Rights

© Cambridge University Press 2026

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