Should I call for an Ambulance?

Whether you are an experienced first aider or not, finding yourself in a situation that requires some first aid to be administered requires you to keep calm and make informed decisions:

If you answer YES to any of these questions dial 999 for an ambulance:


Severe chest pain:

  • Is the patient unconscious?
  • Has the patient got a history of heart problems?
  • Is the pain a crushing pain like a band around the chest?
  • Is the pain moving into the jaw or arms?
  • Does the patient feel sick?
  • Is the patient sweating or clammy?
  • Is the patient having breathing difficulties?

Unconscious:

  • Is the patient unconscious?

Semi-conscious (or 'floppy' baby or child):

  • Is the patient semi-conscious or floppy with any other of the following symptoms
  • Difficult to wake? Stiff neck? Severe headache? Child with a high-pitched whimpering cry? Purple or blood coloured rash? Photo-phobic?
  • Is the patient a diabetic? Is the patient having breathing difficulties?
  • Is the patient having chest pains?
  • Has the patient got a history of heart problems?

Overdose and Semi-conscious:

  • Is the patient unconscious or very drowsy?
  • Is the patient having breathing difficulties?

Overdose and fully conscious:

  • Is the patient having breathing difficulties?
  • Is the patient a danger to himself?
  • Is the patient a danger to others?

Severe breathlessness or collapse:

  • Is the patient unconscious?
  • Is the patient semi-conscious?
  • Is the patient having breathing difficulties?
  • Has the patient received a crushing or penetrating injury to head, neck, chest, abdo or thigh?
  • Is the bleeding uncontrollable?


Serious head injury / Road accident:

  • Is the patient unconscious?
  • Is the patient having breathing difficulties?
  • Is the patient fitting?
  • Has the patient received a crushing or penetrating injury to head, neck, chest, abdo or thigh?

Epilepsy / Fitting:

  • Is the patient still fitting? Is this the patient's first fit?
  • Has the patient received a serious injury to the head?

About the author

Clive Haddrell Cert Ed MIfL


NHS Paramedic Tutor, NHS Ambulance Emergency Driving Tutor, FAETC 1&2, Cert/Ed, D32, D33. Manual Handling Tutor (RoSPA) and Member of the Institute for Learning. I have over thirty years experience with the former Avon Ambulance Service NHS Trust, and recently with Great Western Ambulance Service NHS Trust. My experience includes the role of paramedic tutor, rapid response motorcycle paramedic. For the last 28years paramedic advisor to the well-known BBC television program "Casualty". 

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