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Warning-sign checks

Whiplash: 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 after a neck injury if you develop:

    • New weakness in an arm or leg
    • Trouble walking, severe loss of balance, or poor coordination
    • Loss of bladder or bowel control
    • Numbness around the genitals, buttocks, or inner thighs
    • Difficulty breathing or swallowing
    • Severe confusion, repeated vomiting, a seizure, or increasing drowsiness
    • A worsening severe headache after a head impact

    After a major collision or fall, avoid unnecessary neck movement until emergency professionals have assessed you, especially if there is severe pain, weakness, numbness, or reduced awareness.

    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 if you have tingling or numbness, pain spreading down an arm, an electric-shock feeling through the neck or limbs, severe pain that is getting worse, or difficulty sitting upright.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is appropriate when pain or stiffness is not improving after a few weeks, symptoms interfere with sleep or daily activities, or you need continuing pain medicine.

    Persistent dizziness, headaches, concentration problems, anxiety, or flashbacks should also be discussed.

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