Asthma emergency
Ohotata mate huangÅ
Asthma can sometimes be life-threatening. The information on this page tells you what to look for and what to do if there is an asthma emergency.
Signs of life-threatening asthma
Asthma is life-threatening if someone:
- cannot speak more than 1 or 2 words per breath
- is distressed or feels frightened
- shows little or no improvement after using a reliever
- is hunched over and struggling to breathe
- has blueness around their lips.
What to do
Do not panic. Keep the person calm and comfortable while acting confidently and without delay.
Follow the 4-step asthma emergency plan.
1.
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Sit the person upright. Loosen any tight clothing. Stay with the person. Remain calm and reassuring.
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2.
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Give them 6 doses of a reliever inhaler. This will either be their single combination inhaler (for example, Symbicort, Vannair or Duoresp) or a separate blue inhaler (for example, Respigen, Salamol, Ventolin or Bricanyl). Ideally give them 1 dose at a time using a spacer. After each dose, ask the person to take 6 breaths from the spacer.
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3.
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Wait 6 minutes.
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4.
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If there is little or no improvement, call an ambulance by dialling 111. Continually repeat steps 2 and 3 while waiting for the ambulance. Remember, an ambulance can provide treatment and is a much safer form of transport than a car.
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Written by HealthInfo clinical advisers. Last reviewed October 2024.
Sources
The information in this section comes from the following sources, some of which may be clinically complex or not available to the general public
Asthma UK. Retrieved September 2016.
Asthma and Respiratory Foundation NZ. Retrieved September 2016.
Asthma and Respiratory Foundation NZ – Asthma first aid. Retrieved April 2019.
Asthma New Zealand – What to do in an emergency. Retrieved November 2016.
Canterbury Community HealthPathways – Asthma in adults. Retrieved February 2017.
Mayo Clinic – Asthma. Retrieved September 2016.
Patient.info – Asthma. Retrieved September 2016.
Image and embedded video sources
Illustration of normal and asthmatic airways from Shutterstock (image ID 74586247). March 2021.
Image of a child using an inhaler and mask provided by Apex Medical. April 2016.
Image of a man holding an asthma reliever and spacer with a woman helping him from iStock (image ID 474850302). March 2017.
Image of a man walking next to the sea from mychillybin (image ID 103494_262). January 2016.
Image of a woman blowing into a peak flow meter from Shutterstock (image ID 173834168). May 2017.
Image of a woman having problems breathing on a beach from Shutterstock (image ID 184528427). May 2017.
Page reference: 327463
Review key: HIASA-39947