Anyone suspecting a life threatening illness such as a heart attack or stroke, anyone experiencing chest pain, shortness of breath or difficulty breathing, upper/lower abdominal pain that persists, fainting, uncontrolled bleeding from any site, coughing or vomiting of blood, suicidal feelings, neurological changes such as difficulty speaking, vision loss, or anyone with significant head injury or other severe trauma should utilize 911 or have someone drive you to the nearest hospital based emergency room.