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
Is any of this happening now?
Call 911
Call emergency services for a first seizure, a seizure lasting several minutes, repeated seizures without recovery, difficulty breathing, sudden severe weakness, or loss of consciousness.
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
Is any of this happening?
Be seen today
Seek urgent medical advice for repeated headaches with vomiting, new balance problems, developmental loss, weakness, or other new neurological symptoms.
3
Does any of this apply?
Book an appointment
Arrange a prompt, non-emergency assessment for:
A new lump that keeps enlarging
A firm area that differs from nearby tissue
Repeated bleeding, crusting, or an open sore
Persistent pain, itching, or tenderness
A rapid or unusual change in color, shape, or texture
A surgical wound becoming increasingly red, swollen, painful, or wet
Routine appointments are appropriate for planned skin checks, skin or hair care, surgery discussions, and emotional support.
Every sign above is quoted from the sofidex article on Giant congenital nevus. If you are not sure, err upward — it is always reasonable to be checked.