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
Is any of this happening now?
Call 911
Seek emergency care for:
Trouble breathing or rapidly worsening shortness of breath
Coughing up blood
Confusion, a seizure, collapse, or difficulty waking
Very little or no urine
Yellow skin or eyes with worsening illness
Heavy or unexplained bleeding
Severe weakness, fainting, or signs of shock
A severe headache with a stiff neck or altered awareness
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
Is any of this happening?
Be seen today
Seek prompt medical advice if you develop fever, headache, strong muscle pain, red eyes, vomiting, or marked tiredness after recent contact with floodwater, freshwater, sewage, rodents, livestock, or animal urine.
Mention the exposure, where it happened, and when it occurred.
Contact your healthcare service sooner if symptoms are worsening, fever returns, you cannot keep fluids down, or you are passing less urine.
These symptoms can have several causes, but they need urgent assessment.
3
Does any of this apply?
Book an appointment
If you have already been assessed, arrange routine follow-up as advised.
Every sign above is quoted from the sofidex article on Leptospirosis. If you are not sure, err upward — it is always reasonable to be checked.