A Framework for Standardizing Emergency Triage for Chronic Disease Exacerbations in Youth Held in Custody: Sickle Cell Disease as a Model.

Authors

Michael Rutledge DeBaun

Published in

Pediatric clinics of North America. Volume 73. Issue 6. Pages 1129-1140. Epub Aug 13, 2026.

Abstract

Children and adolescents in custody are entitled to prompt medical care, but few specialty organizations provide specific guidance for managing acute episodes of chronic illnesses in detention settings. We reviewed evidence-based guidelines for six severe pediatric chronic conditions and found minimal accommodations for custody-specific implementation. Using sickle cell disease (SCD) as a case study, we outline a practical approach that uses Emergency Severity Index level 2 as an objective triage anchor for time-sensitive clinical events, then assesses whether evidence-based guidelines for SCD recommendations can be operationalized given staffing, scope of practice, formulary, and transportation limitations.

PMID:
42998885
Bibliographic data and abstract were imported from PubMed on 08 Nov 2026.

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