When in doubt, call 9-1-1 or your local emergency number If you're unsure whether the victim has a serious problem or if he or she is in severe pain, then there's enough doubt in your mind to call for emergency help Until help arrives, stay calm and reassure the victim. If the victim has not had a neck or back injury or a broken bone, reposition him to keep an open airway for breathing nd protect him from further harm Warning signs of a heart attack (such as sudden pain or pressure in the chest) and breathing distress require emergency care. Also get help for symptoms of a stroke, such as weakness, numbness in an arm or leg, or changes in speech and vision. Timing is critical for treating victims of stroke with the newest medication.