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 trouble breathing, blue lips, collapse, inability to wake normally, or uncontrolled bleeding.
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
Contact the surgical team urgently if:
Pain is severe, increasing, or not relieved by advised medicine
Toes become pale, blue, unusually cold, very swollen, or difficult to move
New numbness or loss of feeling develops
The cast becomes extremely tight, wet, cracked, loose, or unpleasant-smelling
Blood or fluid soaks through the dressing or cast
Fever, increasing redness, pus, or worsening wound pain develops
A pin appears loose or changes position
3
Does any of this apply?
Book an appointment
Routine questions about cast care, brace fit, activity, school, or gradual changes in foot position can usually be discussed during normal office hours.
Every sign above is quoted from the sofidex article on Clubfoot repair. If you are not sure, err upward — it is always reasonable to be checked.