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Breathing difficulties - first aid - Treatment

Alternative Names

Difficulty breathing - first aid; Dyspnea - first aid; Shortness of breath - first aid

First Aid:

If someone is having breathing difficulty:

  1. Immediately call 911 or your local emergency number.
  2. Check the person's airway, breathing, and pulse. If necessary, begin CPR
  3. Loosen any tight clothing.
  4. Help the person use any prescribed medication (such as an asthma inhaler or home oxygen).
  5. Continue to monitor the person's breathing and pulse until medical help arrives. DO NOT assume that the person's condition is improving if you can no longer hear abnormal breath sounds such as wheezing.
  6. If there are open wounds in the neck or chest, they must be closed immediately, especially if air bubbles appear in the wound. Bandage such wounds at once.
  7. A "sucking" chest wound allows air to enter the person's chest cavity with each breath. This can cause a collapsed lung. Bandage the wound with plastic wrap, a plastic bag, or gauze pads covered with petroleum jelly, sealing it except for one corner. This allows trapped air to escape from the chest, but prevents air from entering the chest through the wound.

Do Not:

  • DO NOT give the person food or drink.
  • DO NOT move the person if there has been a chest or airway injury, unless it is absolutely necessary.
  • DO NOT place a pillow under the person's head. This can close the airway.
  • DO NOT wait to see if the person's condition improves before getting medical help. Get help immediately.

Call immediately for emergency medical assistance if:

Call 911 or your local emergency number if you or someone else has difficulty breathing, especially if there is:

  • Blue lips, fingers, or fingernails
  • Chest pain
  • Coughing up large amounts of blood
  • Dizziness or light-headedness
  • Excessive drooling
  • Facial, tongue, or throat swelling
  • High-pitched or wheezing sounds
  • Hives
  • Inability to speak
  • Nausea or vomiting
  • Rapid or irregular heartbeat
  • Sweating

Call your doctor right away if:

  • Shortness of breath is brought on by coughing, especially productive coughing.
  • Your child's cough has a barking sound.
  • You have a fever, green or yellow phlegm, night sweats, weight loss, loss of appetite, or swelling in your legs.
  • You are coughing up small amounts of blood.
  • Reviewed last on: 7/16/2011
  • Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Manno M. Pediatric respiratory emergencies: upper airway obstruction and infections. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 166.

Thomas SH, Brown DFM. Foreign bodies. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 57.

Wippold FJ II. Diagnostic imaging of the larynx. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 106.

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