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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-005

Shock / circulatory collapse

Sudden deterioration or collapse may indicate a serious circulatory emergency.

What should I do first?

  • Treat sudden deterioration as potentially serious
  • Obtain help and seek medical assistance promptly
  • Identify and address obvious life-threatening causes within your competence
  • Monitor responsiveness and breathing continuously
  • Keep the person warm and protect from unnecessary heat loss
  • Do not give food or drink when the person's condition makes this unsafe

What this may look like

  • Sudden collapse or marked deterioration
  • Pale, clammy, or unusually cold skin
  • Weakness, confusion, or reduced responsiveness
  • May follow injury, bleeding, illness, or unknown cause

What should I check?

  • Responsiveness and breathing
  • Obvious bleeding or injury
  • Change in condition over time
  • Need for immediate resuscitation support

What should I avoid?

  • Attempting to define a cause onboard
  • Delaying medical assistance
  • Giving food or drink to a person who may need urgent care

When should I get medical assistance?

  • Promptly for collapse, marked deterioration, or concerning symptoms
  • Contact your vessel's designated medical assistance/TMAS service according to vessel procedures
  • Follow your vessel's emergency procedures

What information should I prepare for TMAS / medical assistance?

  • When deterioration started and how it has progressed
  • Associated symptoms, injuries, or bleeding
  • Actions taken and current condition
  • Vessel position and communications details required by procedure

Related symptoms

Important safety note

  • This pathway describes concerning signs, not a confirmed medical condition
  • 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.