| COR | LOE | Recommendations |
|---|---|---|
| 1 | B-R | First aid providers should assist a person with asthma who is having difficulty breathing with the administration of their own prescribed bronchodilators as needed. |
| 2a | B-R | It is reasonable to use either an inhaler with a spacer or a nebulizer when assisting a person with asthma to use their own inhaled bronchodilator medication, in preference to using an inhaler alone. |
| 2a | B-R | If a commercially available spacer is not available, it is reasonable to use an improvised spacer when assisting a person who is having an asthma attack to use their own inhaled bronchodilator medication. |