Podcasts Health & Fitness Medicine FOAMcast - An Emergency Medicine Podcast Emergent Issues in Sickle Cell Disease

Emergent Issues in Sickle Cell Disease

Published: April 30, 2019, 6:26 p.m.

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We review myths and reality in the management of patients with Sickle Cell Disease (SCD)\\xa0

  • Are these patients typically opioid seeking? (No)
  • If the patient appears comfortable I should withhold proper analgesia. (No).
  • Should IV fluids be a routine part of the cocktail for vaso-occlusive pain episodes? (No)

We also review common emergencies in sickle cell disease that include

  • Infections
  • Acute chest syndrome
  • Anemia (Aplastic crisis, splenic sequestration)
  • Ischemia
    • Strokes
    • Avascular necrosis
    • Renal, pulmonary, splenic infarctions
  • Vaso-occlusive pain episodes

Thanks for listening!
Lauren Westafer and Jeremy Faust

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