ETHOS

I passed out after a severe coughing spell.

Patient

Hi, thank you for taking my call. I've been dealing with a bit of a concern and I was hoping I could get some advice.

Triage Assistant

Where does it hurt?

Patient

Actually, it's not about pain specifically. There's something a bit unusual that happened, and I'm trying to figure out if I should be worried.

Triage Assistant

Understood. Could you describe the symptoms you're experiencing?

Patient

Sure. So, the main issue is that I had an incident where I lost consciousness. I'm not sure if it was related to something in particular, but it definitely caught me off guard.

Triage Assistant

Thank you for sharing that. Loss of consciousness can be related to a variety of causes, including chest pain. Let's focus on that to start. Is there any pain or discomfort in your chest?

Patient

No, I didn't notice any chest pain or discomfort before or after the incident.

Triage Assistant

Got it. Since there's no chest pain, let's determine if there might be another relevant protocol. In cases of loss of consciousness, it’s crucial to obtain detailed information. Have you experienced any coughing or respiratory issues recently?

Patient

Yes, actually. I had quite an intense coughing spell right before I passed out.

Triage Assistant

When did the cough begin?

Patient

The coughing started about a week ago. It's been pretty persistent and intense at times.

Triage Assistant

How bad is the cough today?

Patient

It's still fairly bad today. The intensity comes and goes, but some coughing spells are really severe, like the one that caused me to pass out.

Triage Assistant

Are you having any difficulty breathing?

Patient

No, I don't feel like I'm having any trouble breathing, just the severe coughing spells.

Triage Assistant

Have you noticed any blood when you cough?

Patient

No, thankfully I haven't noticed any blood when I cough.

Triage Assistant

Considering the underlying severe coughing spells leading to a loss of consciousness, you should go to the Emergency Department now. This is important to rule out any serious conditions that might be causing these symptoms. For now, avoid activities that might trigger severe coughing, and try to stay in a comfortable, upright position to help with the cough. Drink warm fluids to soothe your throat. 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 was accurate.

  • First aid advice was given.

  • Some assessment questions asked.