Techniques

    A 90-second rescue protocol for panic attacks

    Breathe On Team·June 1, 2026·4 min read
    Reviewed by Dr. Anya Sharma, MD (Pulmonology)

    Definition

    A panic attack rescue protocol is a brief, structured breathing technique designed to interrupt the hyperventilation cycle that drives the physical symptoms of an acute panic attack, typically completing in 60–90 seconds.

    The 90-second protocol

    Plant your feet. Exhale fully through pursed lips. Inhale gently through the nose for 4 seconds. Exhale slowly through pursed lips for 6–8 seconds. Repeat 8 times — around 90 seconds.

    Why longer exhale works

    Panic comes with over-breathing. A longer exhale slows breath rate, raises CO₂ back toward normal, and stimulates the vagus nerve — heart rate slows and the panic loop breaks.

    The first 5 minutes after

    Stay where you are. Drink water slowly. Name 5 things you can see. Continue slow nasal breathing. Do not immediately re-enter the trigger situation.

    What not to do

    Do not breathe deeply or quickly to “get more air.” Do not use a paper bag without guidance — modern advice is to slow the breath instead.

    Log your sessions in Breathe On and explore the matching guidance at [/breathing-for/panic-attacks](/breathing-for/panic-attacks).

    Frequently asked questions

    panic attack
    rescue
    breathing emergency
    anxiety

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