You are dispatched to a male in there 30s with CC of asthma attack. BLS called because they gave a neb that didn't improve his difficulty breathing and the eta was long. So the sample they took was weird on the notes. Symptoms/signs said SOB, hyperventilation, and uncontrolled leg shaking. No allergies. Medications were symbicort, albeterol, and Xanax. But only said history of asthma. Patient was obviously anxious so I tried to relax them while the medic was talking with the EMTs. Vitals HR 130 BP 130/85 O2 96% RR 35 BGL 110 temp 98f. Clear breath sounds on the pre neb and post neb note. Which I found interesting. The medic gave a med for anxiety which the patient said did nothing. En route vitals change to HR 80 BP 110/70 O2 97% RR 12. Thoughts? I am going with some anxiety and maybe something else that isn't obvious.