Lauren Elizabeth Siewny

Journal article J Emerg Med · May 2026 BACKGROUND: Emergency department (ED) hallway spaces (HS) are frequently used during overcrowding, exposing patients to safety, privacy, and equity risks. While vertical split flow (VSF) improves throughput, safety-focused hallway interventions are underre ... Full text Link to item Cite

A public health led, statewide approach to improving emergency department care for individuals with sickle cell disease—North Carolina

Journal article Journal of Sickle Cell Disease · January 1, 2026 Sickle cell disease (SCD) is a lifelong condition affecting approximately 100 000 individuals in the United States. It causes progressive organ damage through hemolysis, vaso-occlusion, and chronic inflammation. Patients frequently present to emergency dep ... Full text Cite

Redefining High Emergency Department Utilization for Sickle Cell Disease.

Journal article JAMA Netw Open · June 2, 2025 IMPORTANCE: Sickle cell disease (SCD) is a complex hemoglobinopathy. Vaso-occlusive episodes are the primary cause of emergency department (ED) utilization among individuals with SCD. Literature lacks a standardized definition for high ED utilization. OBJE ... Full text Link to item Cite

Impact of an individualized pain plan to treat sickle cell disease vaso-occlusive episodes in the emergency department.

Journal article Blood Adv · October 22, 2024 To address acute vaso-occlusive episodes (VOEs), the leading cause of emergency department (ED) visits among individuals with sickle cell disease (SCD), we conducted the clinical study, ALIGN (An Individualized Pain Plan with Patient and Provider Access fo ... Full text Link to item Cite

Charcot Neuroarthropathy of the Foot and Ankle in the Acute Setting: An Illustrative Case Report and Targeted Review.

Journal article West J Emerg Med · September 2023 Charcot neuroarthropathy (CN) is a rare but serious sequela of diabetes and other diseases that cause peripheral neuropathy. It is most commonly characterized by degeneration of the foot and/or ankle joints leading to progressive deformity and altered weig ... Full text Open Access Link to item Cite

Electronic Health Record-Embedded Individualized Pain Plans for Emergency Department Treatment of Vaso-occlusive Episodes in Adults With Sickle Cell Disease: Protocol for a Preimplementation and Postimplementation Study.

Journal article JMIR Res Protoc · April 16, 2021 BACKGROUND: Individuals living with sickle cell disease often require aggressive treatment of pain associated with vaso-occlusive episodes in the emergency department. Frequently, pain relief is poor. The 2014 National Heart, Lung, and Blood Institute evid ... Full text Link to item Cite