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

Emergency Department Evaluation

All acute complications of SCD, such as fever or pain or respiratory, abdominal, neurological, or genitourinary complaints should be triaged and seen promptly. These complaints could be due to sepsis, ACS, splenic sequestration, stroke, or priapism, each of which is associated with high morbidity or mortality. The Agency for Healthcare Research and Quality (AHRQ) recommends that patients with SCD who are in crisis be seen as an emergency requiring an Emergency Severity Index (ESI) 2 at triage.26 An ESI 2 designation indicates that the patient should not wait to be seen and requires a physician to assess the patient as soon as possible.

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Last Modified: 07/23/2017
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