accident – especially with broken bone / bleeding leading to blood pressure drop or bruise that is getting larger as there could be internal bleeding
breathing difficulty – especially if it starts suddenly & is severe – if patient has no history of asthma, ask the doctor if it could be a clot in the lungs
chest pain / tightness / pressure &/or pain going to the arms, back or neck – ask the doctor if it could be a heart attack & if an ECG is required
diarrhoea & vomiting leading to dark or high coloured urine or confusion as immediate treatment for dehydration is required
erythema (redness) or rash with fever or feeling cold & unwell, confused / sleepy, fast breathing or fast pulse, infection anywhere in the body – ask the doctor if it could be sepsis
fever – especially if high fever, confusion, skin rash – ask the doctor if it could be meningitis
garbled speech, drooping of eye, face or mouth, weakness or numbness of arm or leg, blurring or loss of sight, confusion, dizziness
headaches – especially if sudden / severe / recurrent – ask the doctor if a brain scan is required