intervention Phase is called the critical or capillary leak phase and consists of clinical or radiographic evidence of serositis, ascites, or pulmonary edema Children in phase are at risk for developing hypotension and uncompensated shock Patients may be refractory to fluid resuscitation and may develop abdominal pain, persistent emesis, tender hepatomegaly, mucosal bleeding, and altered mentation Phase (the convalescence or reabsorption phase) begins approximately to days after the initiation of phase Patients typically experience both clinical and laboratory rapid improvement as the body reabsorbs extravasated plasma and fluid Some patients develop a pruritic vasculitic rash that may desquamate during resolution of the illness (2 to weeks) Triage considerations: Dengue should be considered in every patient seen in the ED presenting with fever and recent return (