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
Use emergency services for immediate danger, serious injury, severe breathing difficulty, loss of consciousness, or thoughts or actions involving immediate self-harm or harm to someone else.
A first seizure, or repeated or prolonged seizures without recovery, also needs emergency help.
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 prompt medical advice for:
Loss of previously learned language, movement, or self-care skills
A major unexplained change in sleep, eating, mood, or behavior
New swallowing difficulties, repeated choking, or unexplained weight loss
Possible medication side effects
Signs of neglect, bullying, exploitation, or abuse
3
Does any of this apply?
Book an appointment
Arrange a routine assessment if a child is not meeting several developmental milestones, is having persistent learning difficulties, or needs much more help with everyday skills than expected for their age.
Hearing and vision problems should also be checked because they can affect communication and learning.
Routine follow-up may include reviews of development, communication, education or work support, mental health, medicines, hearing, vision, dental health, and any condition linked to the underlying cause.
Every sign above is quoted from the sofidex article on Intellectual disability. If you are not sure, err upward — it is always reasonable to be checked.