Sickle Cell Pain and Fever

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One of the most challenging aspects of sickle cell disease is the severe pain and frequent infections experienced by children with the disease. Pain is caused by the sickle-shaped blood cells getting stuck in narrow blood vessels, blocking the flow of blood. Because this can lead to organ damage or failure, it is important that the pain be diagnosed and treated as quickly as possible. Fever may also signal a serious health crisis.

Appropriate medicines must be given as quickly as possible to prevent serious complications. For this reason, Dayton Children’s tracks how quickly children presenting with pain, fever or both are treated.

Dayton Children's also educates parents and/ or caregivers so that they can manage their child's pain and fever promptly. This includes having an appropriate home treatment pain plan and making sure to call the attending hematologist at Dayton Children's before coming to the emergency room.

At Dayton Children's, we strive to ensure that our sickle cell patients receive their pain and /or fever medications within 60-90 minutes of arrival.

Sickle cell pain and fever management               2008 2009 2010          

Sickle cell with fever only:  The median time for patients to receive antibiotics after arriving to the emergency department

 

60 minutes

 

82 minutes

 

68 minutes

Sickle cell with pain only:  The median time for patients to receive pain medication after arriving to the emergency department

 

53 minutes

 

62 minutes

 

61 minutes

Sickle cell with fever AND pain:
The median time for patients to receive antibiotics after arriving to the emergency department

 

65 minutes

 

82 minutes

 

59 minutes

Sickle cell with fever AND pain:
The median time for patients to receive pain medication after arriving to the emergency department

 

65 minutes

 

79 minutes

 

80 minutes

*Treatment times are longer for patients who do not call the ER or attending hematologist prior to arrival.


 

 

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The Children's Medical Center of Dayton Dayton Children's
The Right Care for the Right Reasons

One Children's Plaza - Dayton, Ohio - 45404-1815
937-641-3000
www.childrensdayton.org