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⚠️ MedDeck is an educational and reference tool for seafarers. It does not replace professional medical advice, TMAS, a company doctor, or emergency services. In an emergency, seek appropriate medical assistance and follow your vessel's procedures.

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EM-003

Difficulty breathing

Significant breathing difficulty may be serious — assess, support, and escalate promptly.

What should I do first?

  • Treat significant breathing difficulty as potentially serious
  • Keep the person safe and in an appropriate resting position
  • Obtain help and assess the person's overall condition
  • Seek appropriate medical assistance when symptoms are serious or worsening
  • Watch closely for deterioration in responsiveness or breathing
  • Use only equipment or medicines you are trained and authorized to use
  • Follow vessel procedures and medical assistance advice

What this may look like

  • Breathlessness at rest or with minimal effort
  • Unable to speak in full sentences
  • Visible distress, anxiety, or worsening effort to breathe
  • Bluish or pale appearance in some cases

What should I check?

  • Severity and change over time
  • Responsiveness and ability to speak
  • Other concerning symptoms such as chest discomfort or swelling
  • Known medical history if available

What should I avoid?

  • Assuming the exact cause onboard
  • Leaving a seriously breathless person unattended
  • Using unfamiliar equipment or medicines without authorization

When should I get medical assistance?

  • When breathing difficulty is serious, worsening, or causing distress
  • If responsiveness or breathing deteriorates
  • Contact your vessel's designated medical assistance/TMAS service according to vessel procedures

What information should I prepare for TMAS / medical assistance?

  • When symptoms started and how they have changed
  • Current breathing effort and other symptoms
  • Known medical history and any actions taken
  • Vessel position and communications details required by procedure

Related symptoms

Related equipment

Important safety note

  • This pathway does not identify a specific cause
  • Escalate early when the person appears seriously unwell

⚠️ MedDeck is an educational and reference tool for seafarers. It does not replace professional medical advice, TMAS, a company doctor, or emergency services. In an emergency, seek appropriate medical assistance and follow your vessel's procedures.