II · 0200 hrs · Emergency Department
Severe Falciparum Malaria03 / 18
The patient arrives.
Chief complaint
"He doesn't make sense anymore."
— wife at triage
36 ♂
Age · Sex
Uganda
Travel
6 wks
On-site
None
Prophylaxis
Symptoms · 4 days
Fever — high, spiking
Rigors — shaking chills
Headache · Vomiting — severe, persistent
Lethargy → confusion
Initial observations
39.8°
Temp
132
HR
84/48
BP
34
RR
95%
SpO₂ RA
13
GCS
CRT 5 s — circulatory compromise. Act now.
Teaching
"Geography is the most important laboratory investigation."
CICM Fellowship Masterclass · 2026Dr Timothy Chimunda FCICM
Patient Arrives03 / 18
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