Evening leaf-burn haze next door—indoor

Answer

I'll look at what we already have on this child and the home air-quality steps before answering.

Quick context up front: leaf‑burn haze is an inhaled exposure, and per our `12-吸入与环境暴露` card, **known asthma raises the stakes** — when in doubt, treat it as more serious. I won't change your dosing or your action plan; your **spare inhaler plan card** stays the source of truth. Below is the home‑air + escalation guide, not a treatment plan.

---

## Tonight's first move
**Close every window and exterior door you opened** (use the spare inhaler plan card if wheeze is in the plan's "start here" zone). The opening‑to‑"air out" instinct makes a smoke room worse, not better.

---

## 1) What you already tried vs better alternatives

| You tried | Why it backfired | Better tonight |
|---|---|---|
| Opened windows to clear the room | Outdoor PM2.5 from leaf smoke flows **in** | Keep windows + exterior doors closed; switch AC/fan to **recirculate** if you have it |
| (nothing yet on the plan card) | — | Pull the spare inhaler plan card out now; if the wheeze is in the "yellow zone," follow the card's steps exactly — no more, no fewer |
| (nothing yet on room placement) | — | Put the kid in the room **furthest from the burning side** of the house, ideally one with the door closed |
| (assuming taping/damp towels is overkill) | Smoke leaks through gaps | A damp towel rolled along the **worst‑sealing window** slows particle entry; don't tape permanently |
| (planning to "vent later when it clears") | AQI shifts overnight | Re‑check before opening; tonight the rule is **closed until your local AQI is back in the "moderate" range or below** |

---

## 2) What to avoid tonight (one line each)

- **Don't open windows** for "fresh air" — outdoor smoke is the source.
- **No candles, incense, wood fire, or smoky cooking** (fry/broil/grill). Steam, simmer, reheat — no char.
- **Don't vacuum** unless it has a HEPA filter; regular vacuums stir particles back up.
- **No new meds, supplements, or "lung detox" powders** — your plan card is tonight's plan.
- **Don't change inhaler dosing on your own.** Same dose, same timing the card says.
- **Don't send the kid outside** for a "breath of fresh air" — it's the worst move on a smoke night.
- **Don't keep the elder or sibling in the same smoky room** as the kid — give them a closed‑door room too, and ask the same "any cough/wheeze tonight?" question.

---

## 3) Red flags — stop DIY, follow the plan card's red zone / seek urgent care

**Decision tree (read top‑down; the first box that fits, take that path.)**

```
Is the kid now showing ANY of:
• can't speak a full sentence in one breath
• lips or fingertips bluish
• ribs sucking in / nostrils flaring
• throat tight, voice hoarse, stridor (that high-pitched noise on breath-in)
• pale, floppy, drowsy, confused, or collapsed
• vomiting that won't stop
• reliever inhaler not working per the plan card
└─ YES → Red-zone of the plan card NOW. Call local emergency now.
If the plan says epinephrine auto-injector for asthma+allergy
sudden breathing trouble, give it first (skill02 rule).

└─ NO, but:
• wheeze still present after the plan's yellow-zone steps
• kid had to sit up / can't lie flat
• symptoms came back within hours
• sibling or elder also coughing/wheezing
• you're not sure if it's "in the plan" or not
└─ Call your pediatrician / on-call nurse tonight.
Use the script below.
```

**Asthma management + dosing live with your clinician + your plan card.** If tonight crosses into the red zone, the plan card and local emergency services are who decide; I don't.

---

## Communication scripts (screenshot‑ready)

**To the pediatrician / on‑call nurse (tonight, if yellow zone):**
> Hi, this is [name], parent of [child, age]. [Child] has asthma and started wheezing tonight after neighborhood leaf‑burn smoke got into the house (I opened the windows first — that's on me). I followed the yellow zone on the plan card at [time]: [what you gave]. Response so far: [better / same / worse]. Peak flow if we have it: [number]. No [fever / vomiting / blue lips / can't speak]. Should I come in tonight or keep watching with the card?

**To the school (tomorrow morning, if needed):**
> Hi, [child] had wheezing last night from leaf‑burn smoke in our area. [Child] is back to baseline and cleared by us / our clinician. Please keep [child] indoors for recess/outdoor PE if local AQI is in the "Unhealthy for Sensitive Groups" range or worse, and send a note if any wheeze or cough starts at school. Spare inhaler is in [location], plan card is in the health office.

**To the neighbor (only if you have the energy and a decent relationship):**
> Hi — friendly note that my kid with asthma had a tough night after last night's leaf burn (the smoke pulled into the house even with windows later closed). Any chance we could time leaf burning for a calmer‑wind day, or pile‑and‑wait for pickup? Happy to share my number if it helps. No hard feelings.

---

## What "success in 24 hours" looks like

- Windows stayed closed; **air returned to "moderate" or better** before any re‑opening.
- Kid slept through, or woke once and was settled by the plan card's steps — no red zone.
- Spare inhaler plan card is still in the same place, **in date**, and you know where it is at 2 a.m.
- School knows the AQI‑watch request for tomorrow's recess/outdoor PE.
- You got one block of rest, even a short one. Caregiver math counts.

If by tomorrow morning the kid is still wheezing, still using the reliever more than the plan allows, or you used the red zone once — that's a same‑day clinician call, not a wait‑and‑see.

---

**Limits, stated plainly:** asthma diagnosis, dosing, and plan changes are your clinician's call, not mine. This is a home‑air and escalation guide built around the plan card you already have. I don't carry a national emergency number for any country; in a red‑zone moment, the plan card and your local emergency services decide.