201021U. S. Special Operations Command (USSOCOM)

COUGH
SPECIAL CONSIDERATIONS:
Usually viral etiology, but may also occur with high altitude pulmonary edema (HAPE) and pneumonia.
SIGNS AND SYMPTOMS:
1. Cough with or without scant sputum production.
2. Often accompanied by other signs and symptoms of upper respiratory tract infection (i.e. sore throat
and rhinorrhea).
MANAGEMENT:
1. Treat symptomatically (using Cepacol lozenges or other appropriate medications) when the findings
on history and physical do not suggest pneumonia.
2. Albuterol (Ventolin) metered dose inhaler 3 – 4 puffs q 4 hr may also help control coughing
3. Encourage PO hydration.
4. Avoid respiratory irritants (smoke, aerosols, etc).
5. If associated with URI symptoms, treat per Allergic Rhinitis Protocol.
6. If at altitude, pull balaclava over nose and breathe through it for warm humidified air.
DISPOSITION:
1. Evacuation is usually not required.
2. If accompanied by fever, chest pain, dyspnea, and / or colored sputum (green, dark yellow, or redtinged),
treat per Bronchitis/ Pneumonia Protocol.
A30
Journal of Special Operations Medicine