Sickle Cell Crisis (cont.)
IN THIS ARTICLE
Considering the many body systems involved and the likelihood that sickle cell crisis will occur time and time again, strong consideration should be given to follow-up with a hematologist (a physician with a specialty in treating blood disorders).
Most uncomplicated cases of sickle cell crisis can be treated in community emergency departments. People with this condition can be safely sent home when their pain is under control and their dehydration is eliminated. A short observational period in the emergency department helps to prevent acute relapse and admission for pain and rehydration.
Outpatient treatmentcenterson the control of infection, reduction of pain, and prevention of dehydration. The use of narcotics is often necessary and should not be limited for fear of turning someone with sickle cell disease into a drug addict.
John R Krimm, DO, FAAEM
Brian F Chinnock, MD
Francisco Talavera, PharmD, PhD
Thomas Rebbecchi, MD, FAAEM
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