@Birdsgottafly that was exactly it,
I hadn't been feeling great for about 2 days but hadn't realised I still had a tampon in, only realised when I went to insert another and hit it, so tried to remove original but cord was off at my 1st go, overbalanced and hit my head and passed out cold, came round but kept passing out again
When she was beside me on bathroom floor she put 2+2 together and thought when she heard lost tampon and passed out, confused me she tried to get it out first while thinking what time the local Drs
did their surgery and getting me down there practically.
She tried as a 1st line solution, then had to manhandle a dazed confused me to front door and someone helped into her car, I was getting more and more confused and she wasnt sure what was from what, heck the 1st GP couldn't get it out - while not pleasant for her she was trying to help in the same way, if I'd fallen and broken my arm or leg as in support the injured part first and then get help as needed.
She knew it was a possibility and took what action she could on the spot while she worked out what else to do. If it had come out easily, she would have monitored me on the sofa for changes and then sought help as needed or encouraged me to see GP the following day.