Asthma is a disorder of the smaller airways of the lungs. People with asthma have sensitive airways which can narrow when exposed to certain ‘triggers’, leading to difficulty in breathing. [ANZCOR Guideline 9.2.5]

Common symptoms of asthma are: wheezing, shortness of breath, a feeling of tightness in the chest, coughing and speaking in one or two word clusters


  1. Remove the trigger 

  2. Sit patient upright; rest and reassure

  3. Encourage exhalation with pursed lips

  4. Reliever medication: 1 x 4 x 4 x 4 (with spacer)

  5. Hydrate


Consider: Any persistent asthma event or where the trigger cannot be removed

Rapid: Any asthma event unresponsive to salbutamol and/or any patient with underlying comorbidities (eg: chest infection)

Special Note: Ensure you check any thunderstorm asthma warnings and potentially change intended plans if required. 

Health Direct Thunderstorm Asthma Link 

Some useful links and downloads regarding Asthma 

ARC Asthma Guideline

Wilderness Medicine Guideline

National Asthma Council of Australia

How to use the various Inhalers 


Copyright © 2019 All Rights Reserved Survive First Aid