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I agree with Bill aggressive pain therapy is the key and level 2 is what we use in Dallas
Halim
------Original Message------
From: William Zempsky
Sender: 
To: [log in to unmask]
ReplyTo: William Zempsky
Sent: Jan 7, 2009 11:31 AM
Subject: Re: Triage guidlines for sickle cell disease

Because especially in adult EDs sickle cell patients (adolescents and adults) can languish in the waiting room for hours.  Early and agressive managment of sickle cell pain is an effective method to prevent hospitalization, and there is an emerging body of evidence that coinciding with pain episodes is end organ damage from sickling.  Agressive treatment may diminish this as well (not yet proven)

Bill


William T. Zempsky, MD
Associate Director, Pain Relief Program
Connnecticut Children's Medical Center
282 Washington Street
Hartford, CT 06106
860-545-9041
Fax 860-545-9969
[log in to unmask]
>>> "Martin Herman, M.D." <[log in to unmask]> 01/07/09 12:20 PM >>>
WHy a triage level 2 . I think some patients can be handled as triage
3,especially if you allow the triage nurses to administer motrin in the WR.

Marty


On Wed, Jan 7, 2009 at 9:09 AM, William Zempsky <[log in to unmask]>wrote:

> My colleagues and I in connecticut are tryng to develop statewide
> guidelines for triage of patients with sickle cell disease.  These guidlines
> will target both adult and pedatric facilities.
>
> There appears to be a wide range of approaches to this issue especially in
> adult EDS
>
> As a first step I would like to get all EDs in our state assgning all
> sickle cell patients who present with pain to level 2 triage status.  I am
> looking for published triage guidelines from national/international
> organizations which list sickle cell pain as a level 2 triage criteria.
>  Please contact me if you know of any.  Thanks.
>
> Bill
>
> William T. Zempsky, MD
> Associate Director, Pain Relief Program
> Connnecticut Children's Medical Center
> 282 Washington Street
> Hartford, CT 06106
> 860-545-9041
> Fax 860-545-9969
> [log in to unmask]
>
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
>                 http://listserv.brown.edu/ped-em-l.html
>



-- 
Marty
Martin Herman, M.D.
Pediatric Emergency Specialists, P.C.
Lebonheur Children's Medical Center
Memphis Tn 38103

901 287 5986 ( ED office)
901 287 6226 ( ED fax)

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