Heart and circulation
- Chest pain, pressure, tightness, squeezing — especially radiating to arm, jaw, neck, back, or stomach.
- Sudden severe shortness of breath, particularly with chest discomfort or sweating.
- Fainting, near-fainting, or unexplained collapse.
- New irregular heartbeat with dizziness or chest discomfort.
- One leg suddenly swollen, painful, and warm — possible blood clot.
Brain and nervous system
Use the FAST rule:
- Face drooping on one side.
- Arm weakness or numbness, often on one side.
- Speech slurred, garbled, or hard to find words.
- Time — note when symptoms started and call 911 immediately.
Other neurological red flags:
- Sudden, severe headache unlike any before — "thunderclap" onset.
- New confusion, difficulty staying awake, or unusual personality change.
- Seizure, especially a first-ever seizure or one in pregnancy.
- Sudden vision loss, double vision, or severe vertigo.
- Sudden severe weakness or numbness, especially one-sided.
Breathing
- Trouble breathing at rest, or unable to speak in full sentences.
- Blue lips, blue fingertips, or pale-gray skin tone.
- Severe wheezing, stridor (high-pitched breathing), or sense of throat closing.
- Coughing up blood.
- Chest pain with breathing — especially if it started suddenly or after a long flight, surgery, or period of immobility.
Severe allergic reactions (anaphylaxis)
- Throat tightness, difficulty swallowing, hoarse voice.
- Lip, tongue, or face swelling.
- Hives or widespread rash with breathing trouble or dizziness.
- Sudden vomiting plus rash plus weakness after a known allergen.
If an epinephrine auto-injector is available, use it and call 911 — even if symptoms seem to ease afterward.
Bleeding and trauma
- Bleeding that does not slow with firm direct pressure for 10 minutes.
- Vomiting blood, or vomit that looks like coffee grounds.
- Black, tarry, or bright-red stools.
- Significant head injury, especially with vomiting, confusion, or loss of consciousness.
- Possible broken bone with deformity, severe pain, or numbness.
- Deep wound, animal bite, or burn larger than the palm or affecting face/hands/joints.
Abdominal symptoms
- Severe abdominal pain — especially in the lower right or upper right side.
- Pain plus fever, plus vomiting, plus inability to keep fluids down.
- Sudden, severe pain in someone who recently had abdominal surgery.
- Rigid, board-like abdomen.
- Signs of dehydration: very little urination, dark urine, dizziness on standing.
Pregnancy
- Heavy vaginal bleeding or passing tissue.
- Severe abdominal or pelvic pain.
- Severe headache, vision changes, or sudden swelling — possible preeclampsia.
- Decreased or absent fetal movement past viability.
- Leaking fluid, regular contractions before 37 weeks.
- Fever ≥100.4°F (38°C) at any point in pregnancy.
Infants and young children
- Any rectal temperature ≥100.4°F (38°C) in an infant under 3 months.
- Lethargy — hard to wake, not engaging, very limp.
- Rapid breathing, ribs visibly pulling in with each breath, or bluish color.
- Persistent inability to keep down fluids, or no wet diaper for 8+ hours.
- Stiff neck, bulging soft spot, or rash that doesn't fade when pressed.
- Seizure, especially first-ever.
Mental health emergencies
- Suicidal thoughts with a plan, or active intent to harm yourself or others.
- Severe psychotic symptoms or sudden inability to function safely.
In the U.S., dial or text 988 for the Suicide & Crisis Lifeline. Call 911 if there is immediate danger. Outside the U.S., contact your local crisis line or emergency number.
Possible poisoning, overdose, or environmental
- Suspected overdose, accidental ingestion, or unknown chemical exposure.
- Carbon monoxide concern: headache, dizziness, nausea in multiple people in the same building.
- Heat stroke: hot, dry skin, confusion, very high body temperature.
- Severe hypothermia: shivering stopped, confusion, slurred speech, slow breathing.
In the U.S., the Poison Control hotline is 1-800-222-1222. Call 911 if the person is unresponsive or having trouble breathing.
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Open AI Risk Guide →Educational reference only. See Medical Disclaimer. Related: When to Seek Urgent Care · Symptom Hub · Family Preparedness.
Primary sources
- CDC — Centers for Disease Control and Prevention
- American Heart Association
- American Lung Association
- American Academy of Pediatrics
- MedlinePlus — U.S. National Library of Medicine
- National Institutes of Health (NIH)
External links open the cited public-health resource. BioShield AI does not control external content; consult a qualified clinician for personal medical decisions.