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It was clear she needed to be immediately intubated a procedure in which a tube is inserted into a patient's trachea to open the airways and allow for controlled artificial ventilation, optimising oxygen concentration and the flow of air in and out of the lungs. "She was extremely, dangerously ill," says Gunn. Sunshine Hospital emergency physician Dr Barry Gunn, who treated Jackie Falzon. She was extremely, dangerously ill, he says. Photo: Daniel Pockett All asthma is thought to have an allergic basis, with different sufferers responding to different triggers, including pollen, dust mites, mould spores and pet dander. But doctors believe that thunderstorm-induced asthma resembles anaphylaxis, the most severe form of allergic reaction, particularly in the way it strikes so suddenly and affects people who previously might only have suffered hayfever. "Some people get sick so quickly that even if they had asthma medication to hand, it might not matter," says associate professor Craig French, the director of Intensive Care across Western Health. For someone in the throes of an asthma attack, breathing out, not in, is the biggest challenge. The swollen airways are unable to empty of gas and the bloodstream is flooded with poisonous physician home construction loan Oak Laurel www.oaklaurel.com.au 0430129662 carbon dioxide, which causes unconsciousness. Intubating any unstable patient in an emergency situation is fraught with risk; in the case of an asthma patient who might have stopped breathing, the tube might slide down their throat but there is always the possibility that the lower airways will be too tight for the procedure to work and, as time rushes on, the risk of cardiac arrest increases. As Gunn's team rushed to insert an IV cannula into doctor home loans Oak Laurel 0430129662 oaklaurel.com.au Falzon's arm through which she would receive drugs including an anaesthetic-type sedative, adrenaline and other muscle relaxants, and to attach her to an array of equipment to monitor her blood pressure, oxygen saturation, breathing and heart rate, there was something else on his mind. Even if they could successfully ventilate her, it might turn out that she had already suffered a brain injury from lack of oxygen.