Asthma Attacks – Why You Should Bin the ‘Paper Bag’ Technique

Asthma is a respiratory condition that afflicts 2.7 million people in Australia — as many as one in every 9 of us (Australian Bureau of Statistics, 2018). What’s more, it’s a statistic that is not in decline.

The gravity of the statistics hits home when this one person in 9 is among your family members, friends, co-workers, or neighbours.

Many asthmatics know to always carry their puffers, medication, and a copy of their asthma action plan. However, there are times when an asthma attack happens without any of these 3 items being at hand.

This brings us to a discussion of a well-known method for treating breathlessness: the paper bag technique.

Health professionals recommend breathing deeply into a paper bag when one is suffering from the onset of hyperventilation, also known as panic attacks. But can the same method be utilised by someone having an asthma attack in the absence of an inhaler?

In this feature, we will tackle all things related to asthma, hyperventilation, and the paper bag technique. We’ll describe how this method varies from breathing into an inhaler, why it shouldn’t be a replacement for an inhaler, and how to do proper first aid for an asthmatic if a puffer isn’t immediately available.

Breathe in, breathe out, and read on for these important guidelines about how to help if your loved one is an asthma sufferer.

What is the Paper Bag Technique?

The paper bag technique is a method recommended by health professionals in order to assuage hyperventilation. When someone suffers from a panic attack due to excessive stress or overwork, their brain reacts by decreasing their supply of carbon dioxide. This causes symptoms like tightness in the chest and difficulty breathing—symptoms also attributed to asthma.

In the case of a panic attack, breathing into a paper bag proves effective because it increases the levels of carbon dioxide in the blood. But for reasons outlined below, the paper bag technique does not have the same efficacy for asthmatics as their trusty inhalers and prescribed medications.

Asthma Attacks vs. Panic Attacks: The Importance of Knowing the Difference

The first key to understanding why the paper bag technique won’t work for an asthmatic is to know the difference between an asthma attack and a panic attack. They are two totally different occurrences despite sharing symptoms, and their treatments are not interchangeable.

Though someone undergoing a panic attack will have difficulty breathing just like an asthmatic, the problem lies in their lack of carbon dioxide, and not in the obstruction of their airways. In contrast, an asthmatic will cough, wheeze, and breathe in a laboured manner because their airways are inflamed and filled with mucus.

The second key lies in knowing what a paper bag cannot offer asthmatics. A plain paper bag does not serve the same function as an inhaler, which allows the asthmatic to breathe in corticosteroids or cortisone-like medicines. When inhaled, these medicines bring inflammation down in the airways, halt excessive mucus production, and relieve discomfort in the chest.

In order to take control of an emergency related to breathing—whether it’s for asthma or for hyperventilation—one must be aware of slight differences in the symptoms. Perhaps the giveaway symptom that differentiates hyperventilation from asthma is over-breathing. If breathing even a little—let alone over-breathing—proves trouble for the victim, then it’s time to toss the paper bag and initiate first aid for asthma.

Managing Asthma Attacks: Six Preliminary Steps

Awareness of proper first aid methods will go a long way in relieving a victim of an asthma attack. In the absence of the victim’s puffer, medications, and asthma action plan, here are six steps you can take to initiate their recovery.

1. Help them sit upright. Lying down or being bent over will likely constrict the victim’s breathing even more. To address this, help them sit in an upright position.
2. Guide them to take long, deep breaths. Encourage them to inhale deeply through their noses and exhale just as deeply from their mouths.
3. Calm them down. Gently comfort the victim and assure them that they will get through this asthma attack. Not only will this offer them some emotional relief, staying calm will also prevent them from tightening their chest muscles further, therefore making it easier for them to breathe.
4. Distance them from potential triggers. There are several things in the environment that could serve as triggers for an asthma attack, from dust and pollen to cigarette smoke and animal dander. If you’re in a place where such triggers are apparent, carefully move the victim to a cleaner and cooler room with better air circulation.
5. Offer them a sip of a hot caffeinated beverage. This may be a lesser-known action for the treatment of asthma, but a sip of a hot caffeinated drink like coffee might help open the victim’s airways.
6. If the situation worsens, don’t hesitate to call for additional help. If the 5 steps listed above fail to provide relief, and if the patient is unable to get their hands on their inhaler or meds, get back-up immediately by calling Triple Zero (000).

Learn More about First Aid Treatment for Asthma with Australia Wide First Aid 

Asthma is very common in Australia, and anyone you know could suddenly get an asthma attack without being prepared for it. But as a trained first-aider, you can be the one prepared to take charge of the situation. Come sharpen your first aid skills, and learn to tackle more complex challenges such as treating asthma in child care or education settings, with certified training organisation Australia Wide First Aid.

Come and enrol at one of Australia Wide First Aid’s training centres to earn a certificate of first aid completion, whether you are taking the module for the first time or refreshing your knowledge through an Express module. From us, you’ll learn how to respond in cases of asthma, anaphylaxis, or related emergencies. Click on any of the location pages below to commence your training as a bona fide first-aider!

Respiratory-related courses offered by Australia Wide First Aid include:

• (HLTAID003) Provide First Aid
• (HLTAID004) Provide an Emergency First Aid Response in an Education and Care Setting

As per Australian Resuscitation Council guideline 9.2.8, paper bags should not be used by First Aiders in the treatment of Hyperventilation.