Asthma – what it is and how to help if someone is having an asthma attack?

Very few of us would know what to do if someone close by started to have a serious asthma attack and was struggling to breathe. Yet we probably all know people who have asthma. Read on to find out what asthma is, what may trigger it and how to help someone having an asthma attack?

What is asthma?
Asthma is extremely common affecting nearly 10% of children and a large number of adults too. It is a chronic and potentially life threatening condition Records show that over 25,000 emergency hospital admissions for children in the UK every year for asthma and many more when you include adult asthmatics too. It has been noted that many asthmatics find that there is a particular time of year when their asthma becomes more difficult to control, for some the cold weather is a challenge, however for many Spring is particularly difficult and again in August / September

When someone has Asthma; their airways go into spasm which causes tightness of the chest; the linings of the airways become inflamed and produce phlegm leading to extreme difficulty in breathing.

What are the triggers?
There are many different triggers for asthma attacks and many asthmatics are well aware of their trigger points, although they may not always be able to avoid them.

Increasingly responsible for triggering asthma are pollen and pollution and as a result many people find a worsening of their symptoms in Spring, combined with the onset of hay fever. We have an abundance of many species of grasses, trees and weeds in the UK and some people are particularly sensitive to some and do not react at all to others. There is also a huge variation around the country as to when pollen is released, and as a result people can begin to suffer from hay fever as early as January. About 20% of people with hay fever are allergic to birch tree pollen and this, as well as oak and plane trees, is responsible for many unpleasant symptoms and can exacerbate asthma.
Grass pollens are the most common cause of hay fever and usually affect people in May, June and July.
Weed pollens (such as nettles and docks) usually release pollen from early spring to early autumn.
If you know pollen is a trigger for your asthma, speak to your GP or asthma nurse.

Keep an eye on The Met Office as it issues really useful pollen advice.

Alcohol can make it harder to control your asthma
It is known that alcohol contains histamine which is also released as part of the body’s reaction to allergies – it is therefore strongly suggested that alcohol can increase the sensitivity of the body to pollen and other allergens. As such it is advisable to avoid alcohol if you have a prone to allergic reactions or are asthmatic.


Showing the Airways and Asthma

What are some of the symptoms of asthma?
shortness of breath
tightness in the chest
often people find it particularly difficult to breathe out and have an increase in sticky mucus and phlegm

However please be aware that not everyone will get all of these symptoms.

How you can help in an asthma attack?
If someone is having an asthma attack, ask if they have their medication with them. Always follow the instructions outlined on their medication. However, if they do not have them to hand, these are the steps to follow (these guidelines are suitable for both children and adults):
• Be calm and reassuring as reducing the stress and keeping the casualty calm really helps them to control their symptoms and panic can increase the severity of an attack. Take one to two puffs of the reliever inhaler (usually blue), immediately – using a spacer device if available.
• Stay as calm as you can and encourage them to stay calm too
• Sit them down, loosen any tight clothing and encourage them to take slow, steady breaths.
• If they do not start to feel better, they should take more puffs of their reliever inhaler
• If they do not start to feel better after taking their inhaler as above, or if you are worried at any time, call 999/112.
• They should keep taking the reliever inhaler whilst waiting for the paramedics to arrive

If you suspect the asthma attack maybe due to an allergic reaction and the reliever inhaler is not working. Ask if the patient has been prescribed an adrenaline auto-injector in case of an acute allergic reaction – it would be advisable to give this injection into the upper, outer part of their thigh according to the instructions. If worried in any way, check with the emergency services and keep them informed and updated as to the casualty’s condition. Giving them as much information as you can.
NOTE: Encouraging someone to sit upright is generally helpful when dealing with breathing problems. Sitting the wrong way round on a chair may be a good position for them.
DO NOT take them outside for fresh air if it is cold – as cold air makes symptoms worse.

What to do after having an asthma attack?
They should make an appointment with your doctor or asthma nurse for an asthma review, ideally within 48 hours of their attack.
First Aid Training North East Ltd is a fully regulated First Aid Training provider; our trainers are highly experienced professionals who will tailor the training to your needs.

We run a variety of courses covering adult and child First Aid in a school setting: Paediatric First Aid covering the full Ofsted syllabus, the Fully Regulated Emergency First Aid at Work (EFAW) tailored to Schools and a short 4 hour Emergency First Aid for Schools course covering CPR, choking, asthma, head injuries, minor and major bleeds, fitting and other common medical emergencies in a school setting.

We are happy to arrange bespoke courses for you on many topics and cover specific illnesses such as diabetes, asthma, seizures and acute allergic reaction.

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