An asthma attack during a flight can become a medical emergency within minutes, making preparation and rapid action especially important for passengers with the respiratory condition. The risk was highlighted after a 58-year-old Indian passenger reportedly died following a severe asthma attack aboard a Malaysia Airlines flight travelling from Kuala Lumpur to Sydney on September 16.
The passenger became seriously unwell during the nearly eight-hour journey. Cabin crew and fellow passengers attempted to assist him, while a doctor and three nurses travelling on the aircraft also provided medical support. A cabin crew member reportedly performed CPR, but the passenger could not be saved.
For asthma patients, recognising warning signs is crucial. Sudden breathlessness, chest tightness, coughing and wheezing are common symptoms. Rapidly worsening breathing difficulties, inability to speak normally or failure to improve after using a prescribed reliever inhaler can indicate a severe attack.
Passengers should keep their reliever inhaler and other essential medicines in their hand baggage rather than checked luggage. During an attack, the inhaler should be used according to the individual’s medical plan. Passengers should immediately alert cabin crew rather than attempting to manage worsening symptoms alone.
Sitting upright may make breathing more comfortable, while lying flat should generally be avoided during significant breathing difficulty. Severe symptoms such as increasing breathlessness, difficulty speaking, blue or grey lips, confusion or extreme difficulty breathing require urgent medical assistance.
Before flying, asthma patients should review their asthma action plan with their healthcare professional and carry necessary medication where it remains readily accessible. Early recognition, prompt treatment and timely communication with cabin crew can be critical during an inflight emergency.
