Original ArticlesEmergency Department Provider Survey Regarding Acute Sickle Cell Pain ManagementMartin, Olufunke Y. MD*,†; Thompson, Sean M. MD*,†,‡; Carroll, Aaron E. MD, MS*,†,§,∥; Jacob, Seethal A. MD, MS*,†,§,¶Author Information *Indiana University School of Medicine †Riley Hospital for Children ‡Department of Emergency Medicine §Center for Pediatric and Adolescent Comparative Effectiveness Research ∥Children’s Health Services Research, Department of Pediatrics, Indiana University ¶Department of Pediatrics, Division of Pediatric Hematology/Oncology, Indianapolis, IN Provider Understanding of Emergency Room Sickle Cell Disease Pain Protocol. Poster presented at the American Society of Pediatric Hematology/Oncology Conference, May 1–4, 2019. S.A.J. has received funding through an AHRQ LHS K12 grant (1K12HS026390-01). O.Y.M. has received funding from the American Society of Hematology 2019 Minority Resident Hematology Award Program. The remaining authors declare no conflict of interest. Reprints: Olufunke Y. Martin, MD, Department of Pediatrics, Riley Hospital for Children, 705 Riley Hospital Drive, RI 5867, Indianapolis, IN 46254 (e-mail: firstname.lastname@example.org). Journal of Pediatric Hematology/Oncology: August 2020 - Volume 42 - Issue 6 - p 375-380 doi: 10.1097/MPH.0000000000001843 Buy SDC Metrics Abstract Sickle cell disease (SCD) can lead to potentially devastating complications that occur secondary to vaso-occlusion. Current national clinical guidelines are largely based on expert opinion, resulting in significant variation of management. Provider awareness regarding emergency department (ED) management of vaso-occlusive crises (VOC) remains unknown. A 23-question assessment of VOC management was administered to all eligible ED providers at Riley Hospital for Children between September and November 2018. Univariate analyses were performed to evaluate responses between groups. Of 52 respondents comprised of ED staff attendings (27%), resident trainees (58%), and ED nurses (15%), the majority were not aware of SCD management guidelines being available. Approximately 54% of providers endorsed a high comfort level in managing VOC, with staff and nurses more likely to report this than trainees (P=0.02). Less than 10% of all providers knew the recommended timeframe from triage to initial medication administration. Prolonged time between pain assessments was reported by 25% of providers with a high comfort level in managing VOC, which was similar to providers with a lower comfort level (13%, P=0.217). Only one fourth of all respondents appropriately did not use vital signs as an indication of a patient’s pain level, and >10% reported not utilizing patient-reported pain scores. This was not significantly different between provider comfort levels (P=0.285 and 0.412, relatively). Our results suggest education regarding recommended practices was inadequate regardless of reported provider comfort. Further provider education and/or standardized ED VOC management guidelines may serve as areas for improvement in SCD care. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.