Sickle Cell Disease in the ED

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the August 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Sickle Cell Disease

Epidemiology

• Common Presentation of Sickle Cell Disease in the ED
• Screening and Diagnosis Differences
• Epidemiology: 200,000 ED Visits Annually, 85% for Pain

Pathophysiology

• Life Expectancy and Complications
• Vado-Occlusive Crises and Pathophysiology
• Sequestration Crisis in Sickle Cell Patients
• Acute Chest Syndrome and Priapism

Clinical Management

• Treatment Advocacy and Pain Management
• Patient History and Examination Importance
• Imaging Recommendations
• Laboratory Studies and Findings
• Emergency Department Care Protocols

Advanced Treatment Options

• Intravenous (IV) Fluids Guideline
• Management of Priapism
• Role of Exchange Transfusion
• Acute Chest Syndrome Details
• Approach in Rural and Critical Access Hospitals

Special Populations

• Pregnant Patients with Sickle Cell Disease
• Increased Risks and Complication Management