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Breathlessness and cough in the acute setting
Ben G Marshall1,2,3, Veronica White1,2,3, Jo Loveridge1,2,3
1is a Consultant Chest Physician at the University Hospital of Southampton and Honorary Associate Professor at the University of Southampton, UK, where he leads subspecialist services in pneumonia, tuberculosis and interstitial lung diseases. His research interests also lie in these disease areas. Competing interests: none declared.
Recognizing breathlessness and cough is crucial for identifying critical illnesses, including COVID-19. Prompt testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is essential for managing patients in acute settings.
Area of Science:
- Respiratory Medicine
- Infectious Diseases
- Critical Care
Background:
- Breathlessness and cough are common, significant respiratory symptoms with diverse causes.
- Acute breathlessness can indicate life-threatening emergencies requiring immediate medical intervention.
- The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to a global pandemic, with respiratory illness being a major concern.
Purpose of the Study:
- To highlight the importance of rapid assessment and management of acute breathlessness in emergency settings.
- To emphasize the need for thorough assessment of cough and associated symptoms.
- To underscore the critical role of immediate testing for SARS-CoV-2 in patients presenting with respiratory symptoms.
Main Methods:
- Initial rapid assessment and treatment for critically unwell patients.
- Thorough assessment for stabilized or less acute cases.
- Immediate viral swab testing for SARS-CoV-2 in acute settings for all patients presenting with relevant symptoms.
Main Results:
- Breathlessness and cough are prevalent symptoms in COVID-19 patients.
- Prompt recognition and testing are vital for guiding patient management.
- Assumption of SARS-CoV-2 infection is necessary for patients presenting to acute care.
Conclusions:
- Effective management of respiratory symptoms requires timely assessment and intervention.
- Diagnostic testing for SARS-CoV-2 is paramount in current acute medical scenarios.
- Integrated respiratory symptom assessment and infectious disease protocols are essential for patient care.
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