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<< Managing Acute Complications Of Sickle Cell Disease In Pediatric Patients

Prehospital Care

Currently, there are no specific prehospital care guidelines for SCD. Care is based on SCD management in the ED, and extrapolated to interventions that can be provided by emergency medical services. The ABCs (airway, breathing, circulation) take priority when transporting patients. Patients with SCD who are self-medicating with opioids may have a compromised gag reflex. Emergency medical services personnel can place patients in the recovery position to help protect their airway if they vomit. Ideally, children should have their breathing and oxygenation monitored while being transported. This is especially important in ACS, in which hypoxia may require high-flow supplemental oxygen to maintain oxygen saturation > 95%. Bronchodilators should be administered if there is wheezing. Fluid boluses should be given only in hypotensive, unstable patients. Corticosteroids should be withheld until the patient is assessed by a physician.25

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Last Modified: 07/23/2017
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