How does the 4 by 4 by 4 Asthma First Aid work for you?

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Date Joined Mar 2012
Total Posts : 151
   Posted 10/14/2012 12:04 AM (GMT -6)   

I work in Out of School Hours care, and we do a lot of first aid training. After our last round of training, my boss updated our policy for asthma management.

Our policy now states that we MUST follow the 4x4x4 action plan.

For those of you not familiar with it it’s:

1 puff of ventolin via spacer, four breaths through the spacer. Repeat this 4 times.

Wait four minutes.

If the person still isn’t breathing normally, repeat the 4 puffs of ventolin.

Wait four minutes.

If the person still isn’t breathing normally, call an ambulance.


Now I have no problems at all doing this for a child, and I wouldn’t have a problem following it for other people... But I have a massive problem with it being applied to me. (And as my boss pointed out I’m the only one to have had an asthma attack at work in the last 2 years.)


Following that guide I should have called an ambulance for myself this morning, and at least half a dozen times at work.  It took 4 rounds of 4 ventolin this morning, and I never got to the breathing normally part. I probably won’t until tomorrow morning.

While I’m not feeling fabulous, I don’t need to go to hospital… If I DID get sent to hospital I’d bet good money they’d just send me home.


So how does this 4x4x4 work for you?

Do you find it overkill, underkill, or just right?

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