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 severe breathing difficulty, blue or grey lips or skin, loss of consciousness, or a prolonged pause in breathing.
These signs need immediate assessment.
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 urgent medical advice if a baby or child is working harder than usual to breathe, repeatedly choking during feeds, having frequent pauses in breathing during sleep, or unable to take enough fluid.
3
Does any of this apply?
Book an appointment
Arrange a routine medical review for new or ongoing concerns such as:
Snoring, restless sleep, morning headaches, or daytime sleepiness
Hearing changes or difficulty following conversation
Feeding that regularly takes a long time
Poor weight gain
Eye dryness, redness, or discomfort
Dental pain, crowding, or difficulty chewing
Speech or language concerns
Anxiety, low mood, bullying, or withdrawal from usual activities
Every sign above is quoted from the sofidex article on Treacher collins syndrome. If you are not sure, err upward — it is always reasonable to be checked.