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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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🚨 Need urgent help?

What should I do first?

SYM-001

Chest pain

Significant chest discomfort may need prompt assessment — orientation and escalation guidance.

What should I do now?

  • Stop exertion and keep the person safe and at rest
  • Stay with the person and monitor how symptoms change
  • Obtain help if symptoms are significant or concerning
  • Do not attempt to determine the exact cause onboard

What is this symptom?

  • Chest pain can describe discomfort, pressure, tightness, or pain in the chest area
  • It may occur at rest or with activity and may or may not spread to other areas

What might be associated with it?

  • Many different conditions can cause chest pain
  • Possible associations include exertion, stress, muscle strain, digestive upset, or more serious cardiovascular or respiratory problems
  • One symptom alone does not identify a single cause

What should I check?

  • Severity, duration, and whether pain is new or recurrent
  • Breathing effort and overall responsiveness
  • Associated symptoms such as breathlessness, sweating, nausea, or feeling unwell
  • Whether symptoms started suddenly or gradually

What can make it urgent?

  • Severe, persistent, or recurrent chest pain
  • Pain with significant breathlessness or feeling very unwell
  • Sudden onset with marked distress
  • If an emergency may be present, use 🚨 WHAT SHOULD I DO FIRST? — Chest pain (EM-006)

When should I seek medical assistance?

  • Seek appropriate medical assistance if symptoms are severe, worsening, persistent, associated with concerning signs, or if you are unsure about the person's condition
  • Contact your vessel's designated medical assistance/TMAS service according to vessel procedures
  • Seek prompt assistance for significant, unexplained, persistent, or worsening chest pain

What information should I prepare for medical assistance?

  • When symptoms started and whether they came suddenly or gradually
  • Whether symptoms are improving or worsening
  • Other symptoms present at the same time
  • Relevant injury, exposure, heat, cold, or motion if applicable
  • Fluid intake, rest, and any medicines already taken if known
  • Relevant medical history volunteered by the person

Related emergency pathways

Related medical knowledge

Important safety note

  • This page orients you to a symptom — it does not confirm a specific medical condition
  • Many different conditions can cause the same symptom; professional assessment may be needed

⚠️ 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.