You can hear them from a long way   now what you do is you sit them down and let them take up their own particular position, you can, if they've got their medication their Ventilin or whatever, you can put it beside them, they will know if they need to take it or not, get them with the fresh air and let them take up their own position which is usually leaning forward so that it expands their lungs, talk to them about something different because sometimes well they've got to think of what to answer you, it's relaxing those tubes, now if they're taking their medication and it doesn't work within about five minutes get them to hospital, because the only people that really die with asthma are those that have taken medication and keep saying I'll give it a few more minutes, give it a few more minutes and if they're getting worse and worse they're leaving it too long.