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The authors argue that the value of intensive fluid management and care is the most important take-home message from the case reports of Ebola virus disease (EVD) patients outside Africa. They say that it will be very hard to examine the contribution of a drug without comparative trials unless a new drug is profoundly effective. They add that the benefits of routine care like intravenous fluid and electrolyte support should be brought to all patients.

The author addresses the crisis of Ebola outbreak in West Africa. Data provided shows the number of identified cases of Ebola virus disease and the associated deaths as of September 18, 2014. Concern is raised about the adverse effects of the virus on travel, commerce and health care. Emphasis is given on the need for more resources and health care workers, as well as communication and team work to improve health care systems in affected regions.

The article presents insights on the response of the U.S. academic medical centers (AMCs) to the Ebola virus disease outbreak. Topics covered include the lack of leadership in dealing with the crisis, the difficulties created by AMCs for trainees who want to help control the outbreak and the call for AMC leaders to identify how their staff could help with the Ebola crisis.