The passenger’s symptoms are consistent with hyperventilation — breathing faster or deeper than required, which lowers the blood’s carbon dioxide (CO₂) level. Typical signs include dizziness, tingling around the mouth or in the fingers, chest discomfort, visual disturbance and anxiety.
ATPL theoretical-knowledge context
For an EASA ATPL examination, Subject 040 learning objective 37 lists the following measures to counteract hyperventilation: slow the breathing, close one nostril, speak aloud, or place a paper bag over the nose and mouth. Therefore, where a multiple-choice question specifically tests the EASA ATPL syllabus, the paper-bag answer may be the expected theoretical response.
Operational context
In an actual passenger event, these symptoms are not diagnostic of hyperventilation and may also occur with hypoxia or a cardiac, respiratory or neurological problem. Inform the cabin crew, reassure the passenger, encourage slow and controlled breathing, monitor the passenger, and obtain medical assistance as required. Do not substitute an examination mnemonic for the applicable onboard procedure.
Safety note: This answer explains ATPL theoretical knowledge and is not medical advice. Always follow the operator’s Operations Manual, company procedures and the instructions of qualified cabin crew or medical personnel. Current first-aid guidance may advise against paper-bag rebreathing because it can worsen an incorrectly diagnosed condition.
References: EASA Subject 040, learning objective 37; St John Ambulance — hyperventilation first-aid guidance.