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