DF has deteriorated over the last few days and is struggling to breathe. Dr came today and said his lungs sound clear but she thinks he has an upper respiratory infection. This is complicated by dementia and an old neck injury which has affected his swallow. He is on the respect pathway, so no admittance to hospital for invasive treatment. They are giving him morphine/Midazolam but it doesn’t seem to be helping. The home staff seem panicked - they haven’t seen this before - but are reluctant to call an ambulance. It’s particularly bad at night. I am terrified that he’s going to die in distress, unable to breathe. Surely in these sorts of situations, paramedics ( or an OOH dr) can come out and give stronger meds? Has anyone got any advice?