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Trusted Resources: Evidence & Education
Scientific literature and patient education texts
Sickle cell disease in the emergency department
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, PhiladelphiaDOI: 10.1016/j.hoc.2017.08.009
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