ETHOS

I'm coughing up rusty-colored sputum.

Patient

Hi, thanks for taking my call. I've been feeling quite unwell lately, and I've got some symptoms that are worrying me. I'm really not sure what it could be, and I was hoping you could give me some advice or guidance on what to do next.

Triage Assistant

Where does it hurt?

Patient

Well, I wouldn't say there's a specific area where it hurts, but I've been having a persistent cough that's been giving me some trouble.

Triage Assistant

When did the cough begin?

Patient

The cough started about a week ago, but it's been getting progressively worse over the past few days.

Triage Assistant

How bad is the cough today on a scale from 1 to 10, where 1 is very mild and 10 is the worst possible?

Patient

I would rate it around a 6 or 7 today. It's not the worst I've ever felt, but it's definitely bad enough to be concerning and quite uncomfortable.

Triage Assistant

Describe the color of your sputum (if any): Is it none, clear, white, yellow, or green?

Patient

Actually, the color of my sputum is what's really concerning me. It's a rusty color.

Triage Assistant

Are you having any difficulty breathing? If yes, how bad is it? (mild, moderate, severe)

Patient

I wouldn't say I'm having severe difficulty breathing, but it's definitely noticeable. I'd categorize it as moderate; it's making me feel more short of breath than usual, especially when I'm active or even sometimes when I'm just sitting.

Triage Assistant

Given the moderate difficulty breathing and rusty-colored sputum, you should go to the emergency department (ED) now. These symptoms could indicate a serious condition such as pneumonia, which may require urgent medical attention. In the meantime: - Avoid any physical activities that could exacerbate your breathing difficulties. - Stay hydrated and keep your head elevated if you lie down. Thank you for calling, goodbye.

Dispositions

  • Call EMS 911 Now

  • See More Appropriate Protocol

  • Go to ED Now

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Today or Tomorrow

  • See in Office Within 3 Days

  • Home Care

  • Triage result should be See in Office Today.

  • First aid advice was given.

  • Some assessment questions asked.