What is ineffective breathing and how should a first aider respond?

Ineffective breathing is when a person’s breathing is abnormal, weak, or insufficient to maintain life. This may occur due to cardiac arrest, severe asthma, airway obstruction, trauma, drug overdose, or serious medical conditions. Recognising ineffective breathing quickly is critical in first aid because oxygen deprivation can cause brain damage or death within minutes.

Signs of ineffective breathing include gasping, irregular or very slow breaths, noisy breathing, cyanosis (bluish skin), or a lack of chest movement. In many cases, ineffective breathing progresses to respiratory arrest, where breathing stops entirely.

First aid for ineffective breathing requires immediate action. If the person is unresponsive and not breathing normally, the first aider should start CPR immediately, beginning with 30 chest compressions and 2 rescue breaths, and use an AED if available.

Early recognition and intervention are essential. Calling 000 ensures that paramedics can provide advanced airway management, oxygen, and life-saving interventions. First aiders who respond quickly can double the person’s chance of survival in a breathing emergency.

Ineffective breathing is a medical emergency—call 000 immediately.

Symptoms:

  • Gasping or irregular breaths

  • Shallow or slow breathing

  • Noisy breathing (gurgling, wheezing, or stridor)

  • Bluish lips or fingertips (cyanosis)

  • Reduced responsiveness or unconsciousness

First aid for ineffective breathing:

  • Follow DRSABCD and ensure the scene is safe.

  • Call 000 for emergency assistance immediately.

  • Begin CPR if the person is unresponsive and not breathing normally.

  • Use an AED if available and follow the prompts.

  • Continue care until paramedics arrive.

Takeaway to Remember

Ineffective breathing occurs when a person is breathing abnormally or not taking in enough oxygen to sustain life. It is a medical emergency requiring immediate first aid.