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 if the person has a seizure, loses consciousness, is very difficult to wake, or has severe confusion.
Follow any emergency glucose plan already provided while waiting for help.
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
Seek prompt medical advice if a child:
Is eating or drinking much less than usual
Has repeated vomiting or diarrhoea
Shows possible low blood sugar, such as sweating, shaking, pallor, or unusual behaviour
Becomes unusually sleepy, weak, or difficult to engage
Has new pain, limping, or worsening spinal curvature
These can be signs of dangerously low blood sugar or another urgent problem.
3
Does any of this apply?
Book an appointment
Arrange routine medical follow-up if growth slows, feeding becomes more difficult, puberty seems early, or a difference between the limbs appears to increase.
Ongoing visits are also useful for reviewing nutrition, development, dental health, movement, and emotional wellbeing.
Every sign above is quoted from the sofidex article on Silver-russell syndrome. If you are not sure, err upward — it is always reasonable to be checked.