Asthma Emergency Plan

For school and daycare

“Rule of Nine”

Adapted from One Minute Asthma (www.pedipress.com)

Call 911 if you see ANY ONE of the following emergency signs:

  • Trouble walking or talking
  • Child is hunched over
  • Child is struggling to breathe
  • Lips or fingernails are gray or blue

After calling 911, call the office and tell them to contact a parent or guardian. IF EMERGENCY SIGNS ARE NOT PRESENT, but the child is coughing or having difficulty breathing, assess the severity of the asthma signs:

  • Circle the score that applies to each symptom
  • Total the score.

Cough

  • None ………… 0
  • Less than 1 per minute ………… 1
  • 1 – 4 per minute ………… 3
  • More than 4 per minute ………… 5

Sucking in of chest skin

  • None ………… 0
  • Barely noticeable ………… 1
  • Obvious ………… 3
  • Severe ………… 5

Wheeze

  • None ………… 0
  • End of exhale ………… 1
  • Throughout exhale ………… 3
  • Inhale and exhale ………… 5

TOTAL SCORE:  ________

If score is nine or more

Record the score and give medications as defined by the asthma plan or school protocol.

Contact a parent or guardian and advise them to take the child to a physician within the hour.

From the One Minute Asthma Training. Copyright 2002. Pedipress, Inc. All rights reserved. May be copied by school nurse or district. Contact info@pedipress.com for commercial use or sale. Asthma Emergency Plan 1.7 030503