The split
911 now vs. call the clinic / agency
🚨 Call 911 now
- Trouble breathing / can't catch breath
- Chest pain or pressure (help them chew aspirin only if a clinician has told them to)
- Stroke signs — F.A.S.T.: Face droop, Arm weakness, Speech trouble → Time to call
- Can't wake them / unresponsive / a seizure
- Heavy bleeding that won't stop, or a bad fall with a possible broken bone or head hit
- Blue lips, choking, or a suspected overdose (give naloxone if available)
📞 Call the clinic / agency (same day)
- New or worse swelling, or a heart-failure weight jump (~3 lb in a day / 5 lb in a week)
- Fever, new cough, or signs of infection
- Blood sugar trending high or repeated lows
- New confusion that isn't an emergency, or a medicine question
- A pressure sore, a fall with no injury, or poor eating/drinking
- Anything that's "not their normal" but they're stable
Golden rule: a device or a number never overrides how the person looks. If they look sick, act sick, or you can't wake them — 911 wins the tie. You can always call the clinic afterward.
Every time you call, have ready: what changed and when, their meds & allergies, their diagnoses, and their vital signs if you have them. That's your fridge sheet doing its job.