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If it is happening now

Call first. Read second.

Choose your province — "1122" is not one service. Six separate organisations answer that number, and in Sindh and most of Balochistan it is not the number to call at all.

1122

Rescue 1122 — Punjab Emergency Service

Ambulance, fire and rescue. Operates across all Punjab districts.

Free to call

Nationwide, wherever you are

115

Edhi Foundation ambulance

Nationwide, 24 hours. The largest ambulance network in the country.

Free to call

1020

Chhipa ambulance

Karachi, Hyderabad, Sukkur, Larkana and growing.

Free to call

15

Police

Nationwide emergency police response.

Free to call

16

Fire brigade

Municipal fire services in most cities.

Free to call

130

Motorway Police

Motorways and national highways only.

Free to call

1166

Sehat Tahaffuz (health helpline)

Federal health advice line. Not an ambulance dispatcher.

Free to call

Verified against the operating organisations' own published sources on 26 September 2026 and re-checked quarterly. We deliberately do not list a national poison control line: Pakistan has no single verified one, and a wrong number in a poisoning is worse than no number. For poisoning, call your province's ambulance service and take the container with you.

While the ambulance is coming

Eight things worth knowing before you need them

Following the Resuscitation Council UK and American Heart Association 2025 guidelines, WHO and the NHS. This is first aid, not treatment — in every one of these, the call comes first.

Chest pain that could be a heart attack

  1. Call your province's ambulance number now. Do not drive yourself.
  2. Sit the person down and keep them still. Loosen tight clothing.
  3. If they are fully conscious, not allergic to aspirin and not bleeding, one 300 mg aspirin chewed slowly is standard advice — but making the call comes first.
  4. If they stop breathing or stop responding, start chest compressions: centre of the chest, hard, about twice a second, and do not stop until help arrives.
Never: Never wait to see if it passes, and never let them walk to the car.

Stroke — FAST

  1. Face: has one side dropped? Arms: can they raise both and hold them? Speech: is it slurred or strange? Time: note the time the symptoms started.
  2. Call the ambulance immediately and say the word stroke.
  3. Tell the hospital the exact time it started — treatment depends on that number.
  4. Nothing to eat or drink, not even water. Swallowing may be affected.
Never: Never give aspirin for a suspected stroke. Some strokes are bleeds.

Choking, adult or older child

  1. If they can cough or speak, let them cough. Do not hit them.
  2. If they cannot make a sound: five sharp blows between the shoulder blades with the heel of your hand.
  3. Still blocked: five abdominal thrusts — stand behind, fist above the navel, pull sharply inwards and upwards.
  4. Alternate five and five. If they go unconscious, call the ambulance and start chest compressions.
Never: Never do abdominal thrusts on a baby under one year — see the next card.

Choking baby under one year

  1. Face down along your forearm, head lower than the chest, supporting the jaw.
  2. Five firm blows between the shoulder blades with the heel of your hand.
  3. Turn face up: five chest thrusts with two fingers on the breastbone.
  4. Alternate. Call for help. Any baby who was choking must be seen by a doctor afterwards.
Never: Never squeeze a baby's abdomen, and never put your fingers blindly into the mouth.

Severe bleeding

  1. Press hard directly on the wound with cloth — any clean cloth.
  2. Keep pressing. Do not lift it to look. Add more cloth on top if it soaks through.
  3. Raise the limb above the level of the heart if you can.
  4. Call the ambulance. Keep pressing until somebody takes over.
Never: Never use a tourniquet unless the limb is severed and pressure has failed.

Burns

  1. Cool running water over the burn for twenty full minutes. Longer than feels necessary.
  2. Remove rings, bangles and watches before swelling starts. Leave stuck clothing alone.
  3. Cover loosely with cling film or a clean non-fluffy cloth.
  4. Hospital for anything larger than the person's palm, any burn on the face, hands, feet or genitals, any burn on a child, or any electrical or chemical burn.
Never: Never use toothpaste, butter, ghee, ice or oil. They make it worse and they make it harder to treat.

A fit or seizure

  1. Note the time it starts. Clear hard objects away from around them.
  2. Something soft under the head. Do not restrain them.
  3. When the shaking stops, roll them onto their side and check they are breathing.
  4. Ambulance if it lasts more than five minutes, if another begins, if it is their first ever, or if they were injured.
Never: Never put anything in the mouth. Nothing — not a spoon, not your fingers.

Heatstroke

  1. Get them out of the sun into the coolest place available. Call the ambulance.
  2. Remove outer clothing. Wet the skin and fan it, or wrap in a cool wet sheet.
  3. Cold packs at the neck, armpits and groin if you have them.
  4. Sips of water only if they are fully awake and can swallow.
Never: Never give salt tablets, and never leave them alone while they are confused.

A medical history in your pocket is worth more at 4am than at any other hour

The hospital will ask what medicines she takes, what she is allergic to, and what the last tests showed. Fitalthy keeps the answer on your phone.

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