Takeaways – Asthma & Paper Bag Technique
Table of Contents
- Avoid the Paper Bag Technique for Asthma: Breathing into a paper bag is unsafe for asthma sufferers and can worsen shortness of breath by reducing oxygen levels.
- Asthma Overview: Asthma is a chronic condition where inflamed and narrowed airways cause wheezing, coughing, chest tightness, and shortness of breath.
- Prevalence in Australia: Approximately 2.8 million Australians (10.8%) were living with asthma in 2022, making it one of the most common chronic diseases.
- Common Triggers: Asthma attacks can be triggered by allergens (pollen, dust mites, pet dander), respiratory infections, air pollution, exercise, and stress or strong emotions.
- Mechanics of an Asthma Attack: During an attack, bronchoconstriction, airway inflammation, and mucus buildup restrict airflow, sometimes requiring urgent medical care.
- Recognising Severe Attacks: Signs include inability to speak in full sentences, blue lips or face, excessive sweating, and no relief from a rescue inhaler.
- First Aid Response: Use a prescribed rescue inhaler immediately, stay calm, sit upright, and seek medical help if symptoms persist beyond 15–20 minutes.
- Long-Term Management: Effective treatments include inhaled corticosteroids, leukotriene modifiers, and long-acting bronchodilators to reduce inflammation and maintain open airways.
- Prevention Strategies: Avoid triggers, monitor air quality, exercise safely, and follow your prescribed asthma action plan.
- Professional Training Recommendation: Enrol in accredited first aid courses covering asthma and allergy management, including proper use of inhalers and EpiPens.
When managing asthma, people often hear about different tricks or methods that might help. One of these methods is the ‘paper bag’ technique, but it is essential to understand that this is not just outdated—it can be dangerous for people with asthma.
What Is the ‘Paper Bag’ Technique?
The paper bag technique is based on the idea that if you breathe into a paper bag during shortness of breath, you will re-breathe carbon dioxide (CO2), which can supposedly help balance your breathing. This method has been suggested for hyperventilation or panic-related breathing problems, but it is not intended for asthma.
Is the Paper Bag Technique Safe for Asthma Attacks?
The short answer is no. The paper bag method is unsafe for asthma. While some people confuse it with a way to control hyperventilation, it does not work for asthma attacks and can make symptoms worse.
- No real benefit: Asthma attacks are caused by inflamed and narrowed airways, not by over-breathing.
- Less oxygen, more danger: Breathing into a bag lowers oxygen levels, which can cause dizziness and worsen shortness of breath.
- Added risk: It may trigger panic or a suffocation feeling, making the attack harder to manage.
For correct asthma management and first aid, always follow your asthma action plan, use your prescribed inhaler, sit upright, and call for medical help if symptoms don’t improve.
What is Asthma?
Asthma is a chronic respiratory condition where the airways in your lungs become inflamed and narrow, which causes a struggle to breathe leading to wheezing, coughing, and shortness of breath. Asthma is a lifelong condition that can be appropriately managed, but its symptoms fluctuate. Also, knowing some common myths about asthma can help deepen the understanding of the condition and the specific actions to avoid when experiencing asthma attacks.
According to the National Asthma Council Australia, about 2.8 million (10.8%) people in Australia are estimated to be living with asthma in the year 2022 as it is one of the most prevalent chronic diseases in Australia.
Common Symptoms of Asthma
- Wheezing: A high-pitched whistling sound when breathing, especially noticeable when having trouble breathing.
- Shortness of breath: Struggling to breathe, particularly during physical activity or at night.
- Persistent cough: Often worse at night or in the early morning hours.
- Chest tightness: A feeling of pressure or squeezing in the chest
What Triggers Asthma Attacks?
Understanding what sets off your asthma can help you avoid triggers and manage the condition more effectively. Asthma is usually triggered by various environmental and lifestyle factors including:
- Allergens: pollen, pet dander, dust mites, or mold.
- Respiratory infections: Colds, flu, or other viral infections.
- Air pollution: Poor air quality, Smoke, smog, or strong chemical smells can irritate the airways.
- Exercise: Physical activity, particularly in cold or dry air, can set off asthma symptoms.
- Stress or strong emotions: Anxiety, excitement, or even laughing too hard can sometimes trigger an attack in some individuals.
What Happens During an Asthma Attack?
An asthma attack happens when the airways in the lungs become narrow and inflamed, making breathing difficult. If left untreated, this can become serious and may lead to much severe symptoms that may require emergency intervention.
How the Airways React
- Bronchoconstriction: The muscles around the airways tighten, making it harder for air to flow in and out.
- Inflammation: The lining of the airways becomes swollen, further reducing the space for air to pass through.
- Mucus buildup: Extra mucus is produced, which can clog up the airways, making breathing even more difficult.
Signs of a Severe Asthma Attack
A severe asthma attack can be life-threatening. Some signs that an attack is turning severe include:
- Difficulty speaking in complete sentences because of breathlessness
- Lips or face turning blue or pale, which indicates low oxygen levels
- Excessive sweating and physical exhaustion
- Using neck, chest, or abdominal muscles to help with breathing
- No improvement after using a rescue inhaler
First Aid Tips for an Asthma Attack
Knowing what to do when you or someone else is having an asthma attack can make all the difference. Here are some tips for handling an asthma emergency.
What to Do During an Asthma Attack
- Use a rescue inhaler: If prescribed a bronchodilator (rescue inhaler), use it immediately. This helps to open the airways.
- Stay calm: Anxiety can make things worse, so try to stay calm and breathe slowly.
- Sit upright: Avoid lying down. Sitting up straight can help open your airways.
- Monitor symptoms: If things do not improve after 15-20 minutes, repeat the use of an inhaler, and seek medical help.
When to Call for Emergency Help
Call for emergency assistance if:
- You do not feel better after using your inhaler or medication
- You are struggling to breathe or unable to speak in complete sentences
- You notice blue or pale coloring on your lips or face
- You feel incredibly fatigued or confused
Safe and Effective Ways to Manage Asthma
Managing asthma means taking steps every day to stay healthy and avoid attacks. Here are some safe and effective ways to manage the condition.
Long-Term Asthma Treatments
- Inhaled corticosteroids: These are the most common and effective long-term treatment for asthma, helping reduce airway inflammation.
- Leukotriene modifiers: Help reduce inflammation and bronchoconstriction.
- Long-acting bronchodilators: These keep the airways open for more extended periods.
How to Prevent Asthma Attacks
To prevent asthma attacks, it is essential to avoid triggers and stay on top of the treatment plan:
- Know your triggers: Avoid allergens like pollen, dust, or pet dander.
- Monitor air quality: Check pollution levels and avoid outdoor activities when the air is polluted.
- Exercise safely: Always have your rescue inhaler on hand when you exercise, and take it easy in extreme weather conditions.
When to See a Doctor
If you notice that your asthma symptoms are getting worse or your usual medications aren’t working as well, it is time to see a doctor. You should also seek help if:
- You are using your rescue inhaler more often than usual
- Your symptoms are more frequent or severe than in the past
- You’re having trouble controlling your asthma despite following your treatment plan
Conclusion
Asthma can be challenging, but you can lead an everyday, active life with the proper treatment and management strategies. Instead of relying on a method like the paper bag technique, you should follow proven asthma treatments and techniques.
To be fully prepared, consider enrolling in a first aid course that covers allergy and asthma management. Organisations like cprfirstaid.com.au and other certified training providers in Australia offer these courses. These programs teach you how to respond to allergic reactions and asthma attacks and use essential tools like EpiPens and inhalers.
Frequently Asked Questions (FAQs)Paper Bag Technique and Asthma
Does the paper bag technique work for asthma?
No. Breathing into a paper bag is unsafe for asthma. It lowers oxygen levels and can make shortness of breath worse.
What actually happens during an asthma attack?
The airways become inflamed, narrow, and produce excess mucus, making it difficult to breathe.
What are the signs of a severe asthma attack?
Trouble speaking in full sentences, blue lips or face, extreme tiredness, or no relief after using a rescue inhaler.
What should I do if someone is having an asthma attack?
Use their prescribed rescue inhaler, sit them upright, stay calm, and call emergency services (000) if symptoms don’t improve within 15–20 minutes.
What are common asthma triggers?
Pollen, dust mites, pet dander, smoke, cold air, infections, exercise, and stress are common triggers.
How many Australians have asthma?
Around 2.8 million Australians (10.8% of the population) were living with asthma in 2022.
How can asthma be managed long-term?
With inhaled corticosteroids, long-acting bronchodilators, and avoiding known triggers.
Should I learn asthma first aid?
Yes. Accredited first aid courses teach you how to manage asthma safely and use inhalers or EpiPens in an emergency.




