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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:

  1. Call 911 immediately.
  2. Check the person's airway, breathing, and circulation. If necessary, begin CPR and first aid for bleeding.
  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 circulation until medical help arrives. DO NOT assume that the person's condition is improving if you can no longer hear 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 any foods or drinks.
  • 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 if he or she is lying down. 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 if you or someone else has labored breathing, especially if accompanied by:

  • 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:

  • Your 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: 10/2/2008
  • Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. 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. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 166.

Thomas SH, Brown DFM. Foreign bodies. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 57.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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