Most children with sickle have direct access to the paediatric ward and team and will not present to ED.

On the rare occassions children and young people do present we need to get it right. The Paediatric Team use the Leeds Hospital Guideline to guide this. Our primary role in PED is to manage pain while we ask for help.

An adapted version of the LTHT Painful Crisis Flowchart follows but the key is to involve the paediatric team for support early. If patients attend with a personalised analgesia plan from a recognised NHS organisation please ensure this is followed where possible.

Quick access to the Fentanyl guideline and SORTT tool mentioned below.

Pain Crisis Sickle LTHT (1)