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Positioning a casualty with asthma effectively can significantly aid in their ability to breathe and relieve discomfort. Sitting up, particularly with the elbows resting on a table or knees, is beneficial as it promotes optimal lung expansion and reduces pressure on the diaphragm. This posture allows the individual to use auxiliary muscles to assist with breathing, which is especially useful during an asthma attack when the airways are constricted and breathing may be labored.

In this position, gravity also plays a role in helping keep the airways open, as it allows for better drainage of any mucus that might be present. Moreover, being upright can often alleviate anxiety, which can further exacerbate breathing difficulties. This seating arrangement is widely recommended in first aid protocols for asthma emergencies, highlighting its effectiveness in helping the person manage their symptoms until further medical help can be obtained. The other positioning options, such as lying flat on the back or on the side, do not provide the same level of respiratory comfort and efficiency in airflow, which is crucial during an asthma episode.