PLEASE TRIAGE AS ESI 2 PER NIH AND AHRQ
"It is not possible to manage pain at triage for patients with renal colic, cancer, or sickle cell crisis. These patients should be triaged as ESI level 2 and rapid placement should be facilitated whenever possible." - AHRQ, Emergency Severity Index (ESI) Implementation Handbook (see page 26) Web site PDF
"Only about 1 in 4 patients with sickle cell disease receive the standard of care described in current guidelines, and many studies have shown that patients do not receive treatment for their pain as soon as, or in appropriate doses as, other patients."
- HHS Office of Minority Health
SICKLE CELL PAIN
This eight minute video was developed by researchers and clinicians at The Johns Hopkins University. It explores the experience of seeking acute treatment for sickle cell pain from the perspectives of adults living with the disease, as well as that of an expert hematologist
CONDUCTING A SICKLE CELL ASSESSMENT
This video from Duke University's School of Nursing demonstrates how to conduct an assessment for a sickle cell patient's vaso-occlusive crisis. (6 mins)
SAFER is a matter of quality and equity
The Case for SAFER
Learn more about SAFER's origins and guideline-based foundation.
Partner with SAFER
Get your sickle cell organization, medical practice, or health system involved to help ensure better sickle cell care.
Patients: What facilities should we reach out to? Providers: Tell us how implementation is going.
SOURCES: https://www.minorityhealth.hhs.gov/sicklecell/, https://www.nhlbi.nih.gov/health-topics/evidence-based-management-sickle-cell-disease, https://www.nhlbi.nih.gov/sites/default/files/media/docs/Evd-Bsd_SickleCellDis_Rep2014.pdf, https://www.hematology.org/Clinicians/Guidelines-Quality/Quick-Reference.aspx, https://sickleemergency.duke.edu/educational-resources/videos, https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/esi/esihandbk.pdf