This protocol covers a time-sensitive clinical situation: a patient with suspected severe malaria presenting in a setting where definitive, complete treatment cannot be delivered on-site, making immediate referral to an appropriate facility essential.
Suspected severe malaria where the current facility cannot provide complete treatment. Injectable therapy is accessible, but the patient requires urgent transfer to a higher-level setting capable of delivering comprehensive care.
When injections are available but complete treatment is not, the protocol specifies a particular injectable antimalarial intervention to be given before transfer — alongside immediate referral. The full regimen, eligibility criteria, and referral pathway are detailed in the complete protocol.
Where complete treatment of severe malaria is not possible, but injections are available, adults and children should be given a single intramuscular dose of artesunate, and referred to an appropriate facility for further care.
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