DRAFT — NOT FOR PUBLIC EMERGENCY USE
Draft content aligned with ILCOR/AHA resuscitation guidelines, IFRC/Red Cross first aid guidance, WHO emergency care principles, and NFPA fire safety standards. Requires expert review before publication.
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If someone needs immediate help with is breathing normal?, use emergency mode.
Do this nowIs Breathing Normal?
A person who is not breathing needs immediate help — usually CPR and an ambulance. Confusing gasping with normal breathing is a common and dangerous mistake. Quick, correct checking saves time.
Follow these in order when you need this skill.
Check for danger to yourself before approaching. You cannot help if you become a casualty too.
Tap both shoulders and ask loudly: "Are you okay?" If they do not respond, they need urgent help.
Gently tilt the head back and lift the chin unless you suspect a serious neck or spine injury. For infants, keep the head in a neutral position.
Place your ear near their mouth and nose. Look at the chest for movement. Listen for breath sounds. Feel for air on your cheek. Take no more than 10 seconds.
Normal breathing is regular and you can clearly feel or hear it. Gasping, snoring, or occasional noisy breaths are NOT normal breathing — treat as not breathing normally.
If not breathing normally: call emergency services (or send someone to call), start CPR if trained, and get an AED if available. If breathing normally but unconscious, place in recovery position and monitor.
Things that can make the situation worse
Practice the 10-second breathing check on a willing family member lying on their back. Say out loud what you observe: chest rising, air movement, regular rhythm. Then practice on someone pretending to gasp — recognize that gasping is not normal.
Question 1
How long should you spend checking for breathing before starting CPR?
Answer: No more than 10 seconds. Current resuscitation guidelines recommend checking for no more than 10 seconds. Delaying CPR reduces the chance of survival.
Question 2
A person is unresponsive and making occasional gasping sounds. What should you do?
Answer: Call for help and start CPR. Gasping is not normal breathing. It often occurs in cardiac arrest and requires immediate CPR and emergency services.
Practice this skill for these emergency situations.
More skills in Disasters & hazards.