Emergency treatment

• iiSeek expert help immediately.

• Cardiovascular and respiratory resuscitation may be needed if septic shock or massive haemorrhage.

• Immediate empirical broad spectrum antibiotic treatment for neutropenic sepsis. 161

• Leucapheresis may be needed if peripheral blast count high or signs of leucostasis (retinal haemorrhage, reduced conscious level, diffuse pulmonary shadowing on CXR or hypoxia).

• LP if meningism (note precautions above).

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