He/she is having a severe asthma attack!
as-MA-ti-ka — four syllables, stress on second. 'Crisi' — KRI-zi.
Report severe asthma attack to 118. If the person has a reliever inhaler ('broncodilatatore'), use it first. Then call if no improvement.
'Crisi asmatica' = asthma attack. 'Grave' = severe. Signs of severe attack: unable to speak in full sentences, blue lips ('labbra blu'), very fast breathing, not responding to inhaler. In an attack, sit the person upright and forward-leaning. Italian emergency rooms can administer nebulised bronchodilators immediately.
Ha usato il broncodilatatore ma non migliora.
He used the reliever inhaler but is not improving.
Reliever failure = severe attack requiring emergency treatment
Ha le labbra blu e non riesce a parlare.
His lips are blue and he cannot speak.
Cyanosis and inability to speak = life-threatening severity
È asmatico. Ha sempre l'inalatore con sé.
He is asthmatic. He always has his inhaler with him.
Background information for the dispatcher
Italy has about 3 million asthma sufferers. Italian asthma management follows GINA (Global Initiative for Asthma) guidelines. Reliever inhalers ('broncodilatatori a rapida azione') like salbutamol ('Ventolin') require a prescription in Italy. 'Pronto soccorso' for asthma typically involves nebulised salbutamol, ipratropium, and systemic corticosteroids. Severe asthma ('status asthmaticus') may require ICU admission.