A man of 59, who had asthma and chronic bronchitis (COAD), presented at a home visit with severe cyanosis. He was taking very short inspiratory gasps. Both hands were placed in the lower part of his chest squeezing the lower part of the chest inward and downwards in time with his expirations. There was marked and immediate improvement in his condition after even the first compression and he recovered in hospital.

All the patients had used Salbutamol aerosol inhalers and discarded them prior to my arrival.