Asthma Emergency First Aid: What To Do in the Event of an Asthma Attack

On a busy Saturday morning at a local footy match, it’s not uncommon to see someone clutching their chest, struggling for breath as the cold air hits their lungs. Maybe it’s a child who forgot their puffer at home, or an adult experiencing symptoms more severe than usual. In moments like these, would you know what to do? Asthma attacks can develop quickly—and knowing how to respond can make all the difference.

Asthma is one of the most common breathing emergencies, and having the confidence to act fast can help prevent the attack from becoming life-threatening. So let’s break down what an asthma attack looks like and exactly what steps you should take to help.

Recognising an Asthma Attack

Asthma attacks can range from mild to severe. According to the Allens Training First Aid Manual, common signs and symptoms include:

  • Difficulty breathing or shortness of breath

  • Wheezing or a high-pitched whistling sound when exhaling

  • Tightness in the chest

  • Persistent coughing, often worse at night or early morning

  • Increased mucus production

  • Difficulty speaking in full sentences due to breathlessness

Severe asthma attacks may also involve:

  • Blue lips or face, confusion, agitation, or drowsiness—signs of low oxygen

  • Little or no improvement after reliever medication

  • Breathlessness even while at rest

Any asthma attack should be taken seriously. Early action saves lives.

First Aid Steps for an Asthma Emergency

These steps are based on the Allens Training First Aid Manual’s recommended asthma management procedure:

1. Sit the person upright and keep them calm

Panic can worsen breathing, so reassure them and encourage slow, steady breaths.

2. Assist with their reliever medication

Help them take 4 separate puffs of their blue reliever inhaler (Ventolin, Asmol, Airomir), using a spacer if available.

  • Shake inhaler

  • 1 puff into spacer

  • 4 breaths
    Repeat 4 times.

3. Wait 4 minutes

If there is no improvement, administer 4 more puffs.

4. Still no improvement? Call 000

This is now an emergency.
While waiting for help, continue giving 4 puffs every 4 minutes.

5. If the person becomes unconscious

Follow DRSABCD and start CPR if they are not breathing normally.

Why First Aid Training Matters

Asthma affects people of all ages, and attacks can happen without warning. Being trained means you’ll know exactly what to do in those critical first minutes—whether you're at home, at work, or out in the community.

To build your confidence and skills, consider completing a nationally recognised first aid course. You can find an Allens Training provider near you at:

🌐 www.allenstraining.com.au
🌐 www.findtraining.com.au
🌐 www.lewisaid.com.au

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