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Warning-sign checks

Pulmonary embolism: 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

    Call emergency services now for:

    • Sudden or severe difficulty breathing
    • Chest pain with breathlessness, sweating, or feeling faint
    • Coughing up blood with chest pain or breathlessness
    • Fainting, collapse, confusion, or blue-grey lips or skin
    • Symptoms of PE when you have, or recently had, one-sided leg swelling or pain

    If you take an anticoagulant, seek emergency help for vomiting or coughing blood, black or bloody stools, severe uncontrolled bleeding, a sudden severe headache, new weakness or confusion, or a significant head injury.

    Contact your healthcare team promptly, but not usually through emergency services, if recovery has stopped improving, breathlessness is gradually worsening, one leg becomes swollen or painful, or bruising and minor bleeding are becoming difficult to manage.

    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

    Does any of this apply?

    Book an appointment

    Routine follow-up is appropriate for questions about treatment duration, return to work or exercise, travel plans, and medicine monitoring.

The article also says

Do not drive yourself if you may have a PE.

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