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 confusion, extreme drowsiness, a seizure, a stiff neck with severe illness, or stroke-like symptoms such as one-sided weakness, trouble speaking, or a sudden severe loss of coordination.
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, same-day help for:
Sudden hearing loss in one or both ears
Severe or rapidly worsening ear pain
Redness, tenderness, or swelling behind the ear
An outer ear that is being pushed forward
Ear discharge with significant fever or illness
Severe external ear pain in someone with diabetes or reduced immunity
A baby younger than 3 months with a temperature of 38°C or higher
New facial weakness, severe vertigo, or difficulty walking
3
Does any of this apply?
Book an appointment
Arrange routine medical assessment for ear pain that is not improving, recurring infections, ongoing discharge, or hearing changes that continue after an acute episode.
Children whose hearing appears to affect speech, learning, or behaviour should also be assessed.
Every sign above is quoted from the sofidex article on Otitis. If you are not sure, err upward — it is always reasonable to be checked.