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Related Experiment Video

Updated: Feb 7, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Breathlessness in the emergency care setting.

Miriam J Johnson1, Ann Hutchinson

  • 1Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.

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|August 2, 2018
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Summary

Breathlessness is a common emergency department (ED) visit reason, impacting outcomes. Self-management strategies can help patients avoid ED visits for breathlessness crises.

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Area of Science:

  • Emergency Medicine
  • Respiratory Medicine
  • Symptom Science

Background:

  • Breathlessness is a frequent chief complaint in emergency departments (EDs).
  • Understanding breathlessness as a primary symptom is crucial for patient outcomes, regardless of underlying disease.
  • Recent research (post-2017) focuses on breathlessness itself, not solely as a diagnostic indicator.

Purpose of the Study:

  • To review recent literature (2017 onwards) on breathlessness presentations to the ED.
  • To synthesize findings on the epidemiology, self-management, and assessment of breathlessness in the ED setting.

Main Methods:

  • A literature review of seven relevant papers published from 2017.
  • Analysis of studies covering epidemiology, self-management, and validated assessment tools for breathlessness in the ED.

Main Results:

  • Breathlessness accounts for approximately 5% of ED presentations.
  • High admission rates, particularly for heart failure patients; breathlessness predicts re-presentation.
  • Validated tools (e.g., dyspnea severity scale) aid ED assessment.
  • Expert patients utilize self-management to avoid ED visits for crises.

Conclusions:

  • Breathlessness is a significant symptom in the ED with prognostic implications.
  • Systematic identification, assessment, and management of breathlessness are essential.
  • Community-based self-management support should be implemented for recurrent breathlessness episodes to reduce ED burden.