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:
Severe difficulty breathing, gasping, or blue or grey lips
Sudden loss of vision
A seizure, especially a first seizure or one that does not stop
Collapse, unresponsiveness, or extreme difficulty waking
A mild headache, ordinary cold, or stable snoring is not automatically an emergency.
What matters is a marked change, severe symptoms, or signs that breathing, vision, or consciousness are affected.
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 medical advice for worsening headaches with vomiting, unusual sleepiness, new balance problems, increasing eye prominence, inability to close an eye, or repeated pauses in breathing during sleep.
These symptoms may need prompt assessment for pressure, eye injury, or airway obstruction.
3
Does any of this apply?
Book an appointment
Keep routine craniofacial follow-up even when things seem stable.
Arrange a non-emergency review for persistent snoring, mouth breathing, hearing changes, eye irritation, dental problems, frequent headaches, developmental concerns, or changes in school performance.
Every sign above is quoted from the sofidex article on Pfeiffer syndrome type I. If you are not sure, err upward — it is always reasonable to be checked.