Advisory on COPD risks during extreme cold: SKIMS

Srinagar, Jan 6: The Internal & Pulmonary Medicine Department at Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Soura, has issued a public advisory warning of increased risk of acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) during extreme winters in Kashmir.

What is AE-COPD?

AE-COPD is characterized by increased dyspnea and/or cough and sputum that worsens within 14 days, often accompanied by tachypnea and/or tachycardia. This condition is usually associated with increased inflammation caused by infection, pollution, or other insultsto the airways.

Safety Tips to Prevent Respiratory Illnesses

To minimise the risks of AE-COPD and other respiratory illnesses during extreme winters, the public is advised to follow these safety tips:

Do's

• Clean hands frequently and avoid touching face
• Wear multiple layers of clothing to maintain body warmth
• Stay indoors and limit exposure to outdoor air
• Avoid overcrowding and maintain hydration
• Engage in indoor physical activities and get vaccinated against flu and pneumonia
• Use prescribed medications regularly and follow COPD action plans

Don'ts

• Don't smoke or stay around smoke
• Avoid exposure to cold air without protection
• Don't skip medication or engage in strenuous outdoor activities
• Avoid using space heaters without proper ventilation and maintain indoor air humidity

When to Seek Medical Attention?

Individuals are advised to report to the hospital if they experience:

• Increased frequency of cough and sputum production
• Changes in sputum color or quantity
• New onset fever
• Oxygen saturation falls below 88% or increases by more than 4% from baseline
• Symptoms not controlled with routine medication

Home Oxygen Therapy Guidelines

Home oxygen therapy should be initiated if oxygen saturation falls below 88% as measured by pulse oximeter, with a target saturation of 88-92%.

The public is urged to stay indoors and take necessary precautions to minimize the risks of AE-COPD and other respiratory illnesses during extreme winters.