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Warning-sign checks

Infantile sleep apnea: 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 if a baby:

    • Is not breathing or does not quickly start breathing again
    • Turns blue or gray around the face, lips, or tongue
    • Becomes limp, unresponsive, or unusually difficult to wake
    • Has severe chest pulling, choking, or obvious trouble getting air

    Follow the emergency dispatcher's instructions.

    These signs are not always emergencies, but they should not be ignored.

    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

    Seek prompt medical assessment for a first unexplained breathing pause, repeated pauses, color changes, feeding difficulty, or increased work of breathing.

    A baby younger than 3 months with a fever of 38°C or 100.4°F or higher also needs prompt medical assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine follow-up for ongoing snoring, restless sleep, sweating, poor weight gain, feeding fatigue, or increasing monitor alarms when the baby otherwise appears comfortable.

The article also says

Begin infant CPR if the baby is unresponsive and not breathing normally, if you have been trained to do so.

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