You can be sure of a breathing emergency by listening and looking at the patient. First, is the person able to speak comfortably, or are they having difficulties with speech? Secondly, when looking at their neck and chest, can you see that they are using more of those muscles to breathe than usual? Are they tiring out while breathing? Finally, you can ask the person if they are having trouble breathing. If they answer yes to any of these questions, then it could be a breathing emergency. If they aren't capable of answering you, it's time to seek medical attention.
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