Patient report of pain is the gold standard
Build trust by believing the patient is in pain
Sickle cell pain is usually severe and requires immediate treatment; evidence-based guidelines recommend administering pain medication within 60 minutes of arrival
Vital Signs/Neuro Status
Past Medical History
Initiation of Care Should Not Be Delayed Due to Space Constraints
History – Part 1
History – Part 2 (after Evaluation and initial orders placed)
Physical Exam/Differential Diagnosis
Adjuncts for Pain
Manage Opioid Side Effects
Patient-Controlled Analgesia (PCA)
Treatments to Use with Caution or Avoid
Caroline Freiermuth, MD, MS, FACEP (co-Chair) Patricia Kavanagh, MD (co-Chair) Lakiea Bailey, PhD Matoya A. Robinson, MS, MA Vicki Basalyga, PharmD, BCPS, BCPPS, ASHP Amanda Brandow, DO David Brousseau, MD, MS Aubri Carman, MD Patrick Carroll, MD Corrie Chumpitazi, MD, MS, FAAP, FACEP Emelia Frederick, MSN, RN, CEN Jon Mark Hirshon, MD, PhD, FACEP E. Donnell Ivy, MD Sophie Lanzkron, MD, MHS Logan Ramsey, MD JJ Strouse, MD, PhD Henry Young II, MD, FACEP
Loren Rives, MNA Riane Gay, MPA Mandie Mims, MLS Eileen Aguilar, MS Marla Payne
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