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MediumEmergencyToxic shock syndromeau-amcau-acem

A 23-year-old woman presents with fever, rash and hypotension following insertion of a high-absorbency tampon 2 days ago. She has diffuse erythema resembling sunburn and desquamation is beginning on her palms. BP is 80/50 mmHg, HR 130 beats per minute. What is the most appropriate immediate management?

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