Emergencies and After Hours Concerns

• Feeling of suffocation or significant difficulty breathing.
• Blue lips or swelling of face, lips, tongue.
• Severe wheezing not relieved by prescribed bronchodilator.
• Inability to speak.
• Breathing difficulties with a history of blood clot of the lung or collapsed lung.

Severe pain or tightness/pressure in chest, with or without any of the following:

• Shortness of breath.
• Nausea/vomiting.
• Pain in the neck, shoulders, jaw, back or arms.
• Heart palpitations.
• Dizziness, severe light-headedness or weakness.

Described as severe, persistent or rapidly increasing, vomiting blood or dark material that looks like coffee grounds.

• Bleeding from any wound or cut that cannot be controlled with direct pressure.
• Vomiting blood or a large amount of blood in stool.

• Lasting more than a few seconds.
• With heart palpitations.
• History of recent head injury.
• Loss of movement, numbness or weakness in any part of body.
• Confusion.
• Difficulty speaking.

• Ingestion or exposure to a substance you have had a severe reaction to in the past (use EpiPen if indicated).
• Difficulty swallowing, feeling of swelling in the tongue, throat, or lips.
• Breathing difficulty, chest pain, abdominal pain, or mental status change.

• Thoughts of harming yourself or others, with a plan to carry it out.

• Extensive burn area which is white and painless.
• Severe pain and extensive burn area which is red and blistered.

• Sudden severe pain may be described as worst headache ever.
• Fever or stiff neck.
• Confusion or other mental status change.
• Sudden onset weakness, numbness on one side of the body, or changes in vision.
• Inability to speak.

• Bone is protruding through the skin.
• Extremity is cold, blue and painful.
• Penetrating stab/gunshot wound.
• Severe neck injury.
• Head injury with difficulty moving arms or legs or slurred speech.