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Warning-sign checks

Obstructive sleep apnea - adults: 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

    Get emergency help for symptoms that are not typical of uncomplicated OSA, including:

    • Severe difficulty breathing while awake
    • Blue, grey, or unusually pale lips or skin
    • New chest pressure or severe chest pain
    • Sudden facial weakness, arm weakness, or speech difficulty
    • Collapse, a serious crash, or inability to wake someone normally
    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 advice if sleepiness is affecting driving, operating machinery, or safety at work.

    Do not drive when you feel likely to doze.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you have frequent loud snoring, witnessed breathing pauses, nighttime choking, unrefreshing sleep, morning headaches, or ongoing daytime sleepiness.

    Assessment is especially important if these occur alongside high blood pressure, atrial fibrillation, or another heart condition.

    Stop somewhere safe and arrange another way to travel.

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