1.What questions do you still have about managing sickle cell pain in the ER for pediatric patients?

2.What is your PGY level and comfort level managing moderate-severe sickle cell pain?

Intern - Comfortable

Intern - Uncomfortable

PGY2 - Comfortable

PGY2 - Uncomfortable

PGY3 - Comfortable

PGY3 - Uncomfortable

3.Which meddications do you currently feel comfortable providing to sickle cell patients in the ER with pain?

Tylenol

Ibuprofen

Toradol

Oxycodone

Morphine

Dilaudid

Intranasal Fentanyl

4.How long after giving IV Morphine would you wait before giving a second dose for persistent pain?

2 minutes

10 minutes

20 minutes

40 minutes

60 minutes

5.What would you recommend for fluid management for patients who present to the ED with vaso-occlusive crises (and no other complaints)?

Do not provide fluids

Only provide fluids if signs of dehydration

Start 0.5-1x maintenance fluids to ensure they do not become dehydrated

Provide a fluid bolus to dilute the sickled RBCs

6.What is the preferred method of assessing pain in patients with sickle cell disease?