Sickle Cell Crisis

Do not assume that a patient does not have SCD just because they have a light skin color - Anton Helman MD

Sickle Cell Crisis
Sickle Cell Crisis

image by: Ozhan Sean

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Sickle Cell: 10 Things Every EP Should Know about SCD

SCD is marked by recurrent acute events (pain, stroke, acute chest syndrome), many of which result in an ED visit. While evidence to guide the emergency care of SCD patients is limited, there are several important points we can glean from the available literature. As one of very few emergency physicians with an interest in SCD, I’ve compiled a list of ten things I think every emergency practitioner should know.

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Resources

 Sickle Cell: 10 Things Every EP Should Know about SCD

Sickling is not the problem...

LFTL

Always consider the presence of all types of sickle cell crisis, regardless of the dominant presentation.

Emergency Department Sickle Cell Care Coalition

In recognition of the need to improve the care offered to patients with sickle cell disease in the ED, the American College of Emergency Physicians in collaboration with multiple public, private and professional partners created the Emergency Department Sickle Cell Care Coalition.

StatPearls

The main clinical feature of sickle cell disease is the ''acute painful crisis,’’ which often requires hospitalization. The term "sickle cell crisis" is used to describe several acute conditions such as the vaso-occlusive crisis (acute painful crisis), aplastic crisis, splenic sequestration crisis, hyperhemolytic crisis, hepatic crisis, dactylitis, and acute chest syndrome.

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