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Thanks for reviewing this topic. Hopefully, EM:RAP listeners who care for adults are also aware of these guidelines and ACEP resources for that population (https://www.acep.org/by-medical-focus/hematology/sickle-cell/).Unfortunately, when children with sickle cell transition to adulthood, the quality of their acute pain crisis management often suffers for a multitude of reasons leading to significant healthcare disparities. Stay tuned for our NHLBI-funded implementation science research exploring individualized pain plans for adult sickle cell patients when they arrive in the ED with acute pain crises (https://medicine.wustl.edu/news/4-million-funds-study-sickle-cell-disease-teens-adults/). Chris Carpenter
What you do matters.