ASTHMA

Adult Medical Protocol 2.2.2

ASTHMA / BRONCHOSPASM

• This protocol is used for patients who are complaining of

dyspnea and who are wheezing.

• Whenever possible, allow these patients to assume

whatever position is comfortable (they may not tolerate

laying flat).

• A patient with a history of CHF that has wheezing on

auscultation of lung sounds should not be automatically

classified as an “asthma patient.”

• If the CHF patient does not have a history of asthma or

allergic reaction, the more prudent assessment would be

that of CHF (cardiac asthma) (See CHF/Pulmonary

Edema protocol 2.2.4)

Procedure:

BASIC LEVEL: EMT and PARAMEDIC

• Initial Patient Assessment Protocol 2.1.1

• Airway Assessment/Management Protocol 2.1.2

• If severe distress CPAP may or may not help (keep in

mind, it is the medications that will work best to break the

bronchospasm)

• Attach cardiac monitor and pulse oximeter.

• Transport to designated hospital.