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Warning-sign checks

DBA: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for:

    • Severe or rapidly worsening difficulty breathing
    • Chest pain
    • Fainting, severe confusion, or difficulty waking
    • Blue or gray lips or skin
    • Uncontrolled bleeding
    • A severe reaction during a blood transfusion
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice for fever or signs of infection if you have had a stem cell transplant, take immune-suppressing medicines, or have a central venous line.

    Follow any specific instructions from the treating service about temperature thresholds and where to seek care.

    These symptoms can have causes other than DBA, but they need urgent assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment for gradually increasing tiredness, paleness, headaches, reduced exercise tolerance, poor feeding, or slower growth.

    People receiving treatment should report new side effects, missed transfusions, or difficulty taking prescribed medicines.

Every sign above is quoted from the sofidex article on DBA. If you are not sure, err upward — it is always reasonable to be checked.