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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-002

Difficulty breathing

Breathing difficulty can range from mild to serious — know what to check and when to escalate.

What should I do now?

  • Help the person rest in a comfortable supported position
  • Reduce immediate hazards and obtain help if symptoms are significant
  • Monitor closely for deterioration
  • Use only equipment or medicines you are trained and authorized to use

What is this symptom?

  • Difficulty breathing can mean breathlessness, tightness, noisy breathing, or feeling unable to get enough air
  • It may develop quickly or over time

What might be associated with it?

  • Many different conditions can cause breathing difficulty
  • Possible associations include exertion, anxiety, infection, allergy, heart or lung problems, or environmental exposure
  • Severity and context matter more than the symptom label alone

What should I check?

  • How much effort is required to breathe and whether speech is affected
  • Responsiveness and colour of lips or skin if visible
  • Onset — sudden versus gradual
  • Other symptoms such as chest discomfort, swelling, or rash

What can make it urgent?

  • Severe or rapidly worsening breathlessness
  • Inability to speak in full sentences or visible distress
  • Reduced responsiveness or abnormal breathing
  • If an emergency may be present, use 🚨 WHAT SHOULD I DO FIRST? — Difficulty breathing (EM-003)

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 when breathing difficulty is serious or worsening

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

Related learning

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.