PMID- 25060254

OWN - NLM
STAT- MEDLINE
DCOM- 20140910
LR - 20140725
IS - 1558-0539 (Electronic)
IS - 0733-8627 (Linking)
VI - 32
IP - 3
DP - 2014 Aug
TI - Sickle cell disease in the emergency department.
PG - 629-47
LID - 10.1016/j.emc.2014.04.011 [doi]
LID - S0733-8627(14)00035-2 [pii]
AB - 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.
CI - Copyright (c) 2014 Elsevier Inc. All rights reserved.
FAU - Lovett, Paris B
AU - Lovett PB
AD - Department of Emergency Medicine, Thomas Jefferson University & Hospitals,
1020
Sansom Street, Suite 239, Thompson Building, Philadelphia, PA 19107, USA.
FAU - Sule, Harsh P
AU - Sule HP
AD - Department of Emergency Medicine, Thomas Jefferson University & Hospitals,
1020
Sansom Street, Suite 239, Thompson Building, Philadelphia, PA 19107, USA.
Electronic address: harsh.sule@jefferson.edu.
FAU - Lopez, Bernard L
AU - Lopez BL
AD - Department of Emergency Medicine, Thomas Jefferson University & Hospitals,
1020
Sansom Street, Suite 239, Thompson Building, Philadelphia, PA 19107, USA.
LA - eng
PT - Journal Article
PT - Review
DEP - 20140607
PL - United States
TA - Emerg Med Clin North Am
JT - Emergency medicine clinics of North America
JID - 8219565
SB - IM
MH - *Anemia, Sickle Cell/complications/diagnosis/physiopathology/therapy
MH - Emergency Service, Hospital
MH - Humans
MH - Pain/etiology
MH - *Pain Management
OTO - NOTNLM
OT - Acute chest syndrome
OT - Emergency department
OT - Sickle cell disease
OT - Vaso-occlusive crisis
EDAT- 2014/07/26 06:00
MHDA- 2014/09/11 06:00
CRDT- 2014/07/26 06:00
PHST- 2014/07/26 06:00 [entrez]
PHST- 2014/07/26 06:00 [pubmed]
PHST- 2014/09/11 06:00 [medline]
AID - S0733-8627(14)00035-2 [pii]
AID - 10.1016/j.emc.2014.04.011 [doi]
PST - ppublish
SO - Emerg Med Clin North Am. 2014 Aug;32(3):629-47. doi:
10.1016/j.emc.2014.04.011.
Epub 2014 Jun 7.