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Warning-sign checks

Emergency airway puncture: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services immediately for:

    • Severe or rapidly worsening difficulty breathing
    • Rapidly increasing neck swelling
    • Heavy bleeding from the wound
    • Blue or grey lips, confusion, collapse, or extreme drowsiness

    Do not drive yourself during a breathing emergency.

    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
  2. 2

    Is any of this happening?

    Be seen today

    Contact your healthcare team promptly for increasing redness, warmth, discharge, fever, worsening neck pain, new hoarseness, noisy breathing, or persistent trouble swallowing.

  3. 3

    Does any of this apply?

    Book an appointment

    After discharge, attend all planned wound, airway, voice, or swallowing appointments.

    Mild soreness that is improving can usually be discussed at routine follow-up.

The article also says

While you are in hospital, staff continuously monitor the airway.

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