Fast track admission in sickle cell crises produces faster pain relief

Interviews with patients with sickle cell disease showed that accident and emergency staff were inexperienced in dealing with sickle cell crises and pain relief was thus delayed. Fertleman et al therefore established a fast track procedure where children went straight to the ward where they were seen by a nurse who could administer preprescribed doses of pethidine and naloxone (p 650). Parents who had used both systems preferred the new, and the median time to pethidine administration fell from 38 minutes to 5 minutes.


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