Acute infections are a major cause of illness and death in childrenworldwide. In Africa, 50 percent of in-hospital deaths of childrenoccur within 24 hours of admission, and shock complicates manycases.1 The provision of emergency advanced life support forcritically ill children would have an important effect on survivalin the developing world, where acute infections are common.1,2Ways must be found of ensuring emergency care in resource-poorsettings, where sophisticated point-of-care analyses, intensivemonitoring, and specialist care are rarely present; basic laboratorystudies cannot be done in a timely fashion; the choice of intravenousfluids is limited; . . . [Full Text of this Article]
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From the Paediatric Department, College of Medicine, Blantyre, Malawi (E.M.M.); and the Centre for Geographic Medicine Research (Coast), Kenya Medical Research Unit, Kilifi, Kenya (K.M.).
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