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Episode 111: Sickle Cell Series - Acute Management of Sickle Cell Disease
The Fellow on Call: The Heme/Onc Podcast
Act Quickly on Acute Chest Syndrome
In cases of suspected acute chest syndrome, immediate action is crucial. Start by sending a hemoglobin S level to the lab, as this information is essential for potential exchange transfusion. Acute chest syndrome can present in various forms, with diagnostic criteria that include new pulmonary opacity, fever, decreased oxygen saturation, tachypnea, and visible respiratory distress. Recognizing the range from mild cases, which often include fever and mild pulmonary opacities, to severe, life-threatening situations is vital. Most encounters in emergency settings are with mild presentations, but the potential for rapid progression necessitates proactive management.
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