This protocol outlines the assessment and treatment of patients experiencing asthma or bronchospasm. It advises allowing patients to sit in a comfortable position and treating wheezing patients with medications to break bronchospasm. It notes that patients with heart failure and wheezing should not automatically be diagnosed with asthma, and if they have no asthma history their condition is likely cardiac asthma related to heart failure. The protocol instructs EMTs and paramedics to initially assess the patient, manage their airway if needed, provide CPAP if severely distressed, monitor vitals, and transport to the hospital.