RT Journal Article
SR Electronic
T1 Fifteen-minute consultation: Recognition of sickle cell crises in the paediatric emergency department
JF Archives of disease in childhood - Education & practice edition
JO Arch Dis Child Educ Pract Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP edpract-2020-321338
DO 10.1136/archdischild-2020-321338
A1 Shrina Patel
A1 Christopher Dadnam
A1 Rebecca Hewitson
A1 Indu Thakur
A1 Jeff Morgan
YR 2021
UL http://ep.bmj.com/content/early/2021/04/29/archdischild-2020-321338.abstract
AB Children with sickle cell disease can develop life-threatening and painful crises that require prompt assessment and efficient management by healthcare professionals in the emergency or acute care setting. Due to migration patterns and improved survival rates in high-prevalence countries, there is an increased tendency to encounter these patients across the UK. These factors warrant regular revisions in sickle cell crisis management, along with education for medical personnel and patients to improve clinical care and patient management. The focus of this article is on the initial assessment and management of acute paediatric sickle cell complications in the emergency setting. Specific case studies, including acute pain crises, trauma, splenic sequestration, aplastic crises, acute chest syndrome, infection, avascular necrosis, osteomyelitis and stroke, are discussed. Due to the current COVID-19 pandemic, we have also reviewed specific concerns around this patient group.