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 Resuscitation:IV fluid administration.Broad‐spectrum IV antibiotics (with Gram‐negative and anaerobic coverage).Vasopressor administration (if needed).

 Analgesia.

 Specialist consultation (general surgery and/or gastroenterology) for intervention:The type of intervention will depend on etiology:Endoscopic retrograde cholangiopancreatography for biliary drainage, sphincterotomy, stone extraction, biliary stent placement.Open surgical drainage.If a patient is initially seen at a facility without these consult services, transfer to the nearest facility that has these resources should be undertaken [2, 3].