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Warning-sign checks

Pediatric heart surgery: 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

    Seek emergency help for severe trouble breathing, unresponsiveness, a seizure, sudden blue or grey colouring, heavy bleeding, or collapse.

    Use your local emergency number rather than waiting for a routine callback.

    And for anyone, someone who:

    • has chest pain, tightness or pressure lasting more than a few minutes
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • 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

    Contact the heart-surgery team promptly for fever at or above the threshold in your discharge instructions, increasing redness or drainage from the incision, worsening pain, repeated vomiting, poor feeding, fewer wet diapers, unusual sleepiness, fainting, or a new fast or irregular heartbeat.

    And for anyone, someone who:

    • is getting rapidly more short of breath, or has gained several pounds in a few days with swelling
    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Questions about mild constipation, school forms, activity progression, or routine appointments can usually wait for normal office hours unless the discharge instructions say otherwise.

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