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Sickle cell disease in the emergency department

key information

source: Hematology/Oncology Clinics of North America

year: 2017

authors: Lovett PB, Sule HP, Lopez BL

summary/abstract:

Acute painful episodes are the most common reason for emergency department visits among patients with sickle cell disease (SCD). Early and aggressive pain management is a priority. Emergency providers (EPs) must also diagnose other emergent diagnoses in patients with SCD and differentiate them from vaso-occlusive crisis. EPs should be aware of cognitive biases that may misdirect the diagnostic process. Administration of intravenous fluids should be used judiciously. Blood transfusion may be considered. Coordination of care with hematology is an important part of the effective emergency department and long-term management of patients with SCD.

organization: Thomas Jefferson University & Hospitals, Philadelphia

DOI: 10.1016/j.hoc.2017.08.009

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