ED Scans
Emergency Department Sickle Cell Assessment of Needs and Strengths - ED-SCANS
ED-SCANS is a decision support tool and quality improvement framework to guide practice of SCD in the ED setting. The ED-SCANS includes 7 key decisions to consider when managing adults with SCD. The ED-SCANS was developed by Dr. Tanabe with NIH funding (1K23NR010940).
Each decision includes a supporting algorithm to guide care for the individual patient, and for different emergency departments.
Adult Algorithms
The adult version of the ED-SCANS includes the following 7 decisions and supporting algorithms: triage, analgesic management, diagnostic evaluation, high-risk, high user, disposition, need for prescriptions if discharged and referrals (medical and psychosocial). More information about the development of the ED-SCANS is available.
Tanabe, P., Reddin, C., Thornton, V. L., Todd, K. H., Wun, T., & Lyons, J. S. (2010). Emergency department sickle cell assessment of needs and strengths (ED-SCANS): A focus group and decision support tool development project. Academic Emergency Medicine, 17(8), 848-858. PMID: 20670322.
Tanabe, P., Thornton, V.L., Martinovich, Z., Todd, K.H., Wun, T., and Lyons, J.S. (2012). Properties of the Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS): A quality improvement tool to improve ED management of adults with sickle cell disease. Advanced Emergency Nursing Journal, 35(2), 142-153.PMID: 23636046.
Pediatric Algorithms
The Family Centered Pediatric Sickle Cell Assessment of Needs and Strengths (FC-Peds-ED-SCANS) was adapted from the adult version of the ED-SCANS. The FC-Peds-ED-SCANS includes five algorithms to guide ED management of the child with SCD. Decisions and supporting algorithms include: triage, analgesic management, diagnostic evaluation, high-risk, high user and disposition and referrals. Additional information on the development is available.
ED-SCANS: Pediatric Algorithms
Tanabe, P., Dias, N., & Gorman, L. Care of Children with Sickle Cell Disease in the Emergency Department: Parent and Provider Perspectives Inform Quality Improvement Efforts. Journal of Pediatric Oncology Nursing. Accepted date: April 19, 2013.