How should patients with sickle cell disease (SCD) crisis be managed during transport by emergency medical services (EMS)?

Updated: May 12, 2021
  • Author: Joseph E Maakaron, MD; Chief Editor: Emmanuel C Besa, MD  more...
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Answer

If patients with SCD crisis are being transported by emergency medical services (EMS), they should receive supplemental oxygen and intravenous hydration en route to the hospital. Some areas have specialized facilities that offer emergency care of acute pain associated with SCD; many EDs have a standardized treatment plan in place. National Heart, Lung, and Blood Institute guidelines recommend using an individualized pain management plan (written by the patient’s SCD provider) or an SCD-specific plan whenever possible. [50]


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