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
Seek emergency help if a baby or child has:
Severe difficulty breathing, gasping, or long pauses in breathing
Blue, grey, or very pale skin that does not quickly improve
Choking with an inability to breathe or make sounds
A seizure lasting longer than the child’s emergency plan allows
Unresponsiveness or unusual difficulty waking
Cold, mottled skin with marked weakness or other signs of severely reduced circulation
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
Arrange prompt medical assessment for new or worsening breathing trouble, repeated vomiting, a sudden drop in feeding, fewer wet nappies, fever or other signs of infection, increased sleepiness, or a clear change in seizure pattern.
A displaced feeding or breathing tube also needs timely advice.
Planned reviews do not replace urgent care for sudden changes.
3
Does any of this apply?
Book an appointment
Routine follow-up should review growth, feeding, development, hearing, vision, heart and kidney problems, movement, comfort, and equipment.
Every sign above is quoted from the sofidex article on D trisomy syndrome. If you are not sure, err upward — it is always reasonable to be checked.