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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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Anaphylaxis / severe allergic reaction

Severe allergic reactions can become rapidly life-threatening — escalate immediately.

What should I do first?

  • Seek emergency assistance promptly
  • Assess breathing and responsiveness
  • Use the person's prescribed emergency medication only when appropriate and according to training and vessel procedure
  • Monitor closely for deterioration
  • Obtain professional medical assistance without delay

What this may look like

  • Rapid onset of widespread rash, swelling, or itching
  • Breathing difficulty, throat tightness, or wheeze
  • Marked distress, weakness, or reduced responsiveness
  • May follow exposure to food, medicine, insect sting, or unknown trigger

What should I check?

  • Breathing and responsiveness
  • Swelling, rash, or other allergic signs
  • Whether the person has a known allergy plan or prescribed emergency medication
  • Change in condition over time

What should I avoid?

  • Delaying emergency assistance
  • Using medicines not prescribed for the person or outside your authorization
  • Creating an independent prescribing or medicine protocol onboard

When should I get medical assistance?

  • Immediately for suspected severe allergic reaction
  • 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?

  • Possible trigger if known
  • Current symptoms and timing
  • Use of prescribed emergency medication if applicable
  • Person's known allergy history if available
  • Vessel position and communications details required by procedure

Related topics

Important safety note

  • Do not create medication amount guidance in MedDeck
  • Follow vessel procedures and medical assistance direction

⚠️ 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.