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Warning-sign checks

Hospital-acquired pneumonia: 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 for:

    • Severe difficulty breathing or an inability to speak normally
    • Blue, grey, or unusually pale lips or skin
    • New severe confusion, collapse, or difficulty waking
    • Severe chest pain
    • Coughing up more than small streaks of blood
    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

    If you are in hospital, tell a nurse or another member of staff promptly about a new cough, fever, shaking chills, chest pain, breathlessness, confusion, or a sudden decline in how you feel.

    Do not wait for the next routine ward round.

    After discharge, seek urgent medical assessment if breathing or fever worsens, symptoms return after initially improving, or you cannot keep down fluids or medicines.

    And for anyone, someone who:

    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine follow-up if your cough, fatigue, appetite, or exercise tolerance is not gradually improving.

    Also seek advice for persistent or severe diarrhoea during or after antibiotic treatment.

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