ACH: when to get help

1. 1

   Is any of this happening now?

   Call 911

   Emergency care may be needed for breathing difficulty, swelling of the face or throat, or other signs of a severe allergic reaction.

   Other emergency signs, for anyone

   • Someone who is struggling to breathe, gasping, choking, or cannot get words out
   • Someone who has chest pain, tightness or pressure lasting more than a few minutes
   • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
   • Someone who is unconscious, or cannot be woken
   • Someone who is bleeding heavily and it will not stop with firm pressure
   • Someone who has had a seizure that will not stop, or does not wake up afterwards
   • Someone who has lips or skin that look pale, blue, grey or blotchy
   • Someone who you believe has taken an overdose or swallowed something poisonous
   Yes, one of theseNo, none of these
2. 2

   Is any of this happening?

   Be seen today

   Contact the treating clinician promptly if symptoms worsen quickly, pain interferes with sleep or daily activity, or there are possible signs of infection.

   Earlier review may also be appropriate if a medicine causes a new rash or other concerning effects.

   Seek urgent medical care for rapidly spreading redness, severe swelling, fever, chills, confusion, faintness, or extensive new pustules.

   Yes, one of theseNo, none of these
3. 3

   Does any of this apply?

   Book an appointment

   Routine dermatology follow-up helps assess whether pustules are returning, nail damage is progressing, or treatment is causing side effects.

   Photographs taken at similar intervals may help document changes.

   Tell the clinician about new skin areas, joint pain, changes in function, or difficulty following the treatment plan.

   Yes, one of theseNo, none of these

Every sign above is quoted from the sofidex article on ACH. If you are not sure, err upward — it is always reasonable to be checked.