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Warning-sign checks

Vascular dementia: 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 immediately for possible stroke symptoms, including:

    • One side of the face drooping
    • New weakness or numbness in an arm or leg
    • Slurred, confused, or lost speech
    • Sudden loss of vision, severe imbalance, or unusual severe headache
    • Abrupt confusion or loss of awareness
    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 for a noticeable worsening over hours or days, repeated falls, new swallowing problems, marked sleepiness, poor fluid intake, or sudden changes in behaviour.

    These may have a treatable cause such as infection, dehydration, pain, or a medicine effect.

    Even if these symptoms improve quickly, urgent assessment is still needed because they may represent a transient ischaemic attack or stroke.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you or someone close to you has noticed a gradual decline in memory, concentration, planning, communication, or ability to manage everyday tasks.

    Assessment is also important after a stroke if thinking problems continue beyond the early recovery period.

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