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Warning-sign checks

Bone marrow transplant: 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 trouble breathing, chest pain, uncontrolled bleeding, a seizure, fainting, sudden confusion, or difficulty waking.

    Your transplant centre may want you to call before attending an emergency department so staff can prepare for your infection risk.

    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

    During recovery, contact your transplant team promptly for any fever at or above the threshold they gave you.

    Call the same day for a new rash, worsening diarrhoea, persistent vomiting, yellow skin or eyes, painful urination, unusual bruising, line redness, or difficulty taking medicines or fluids.

    Do not wait for a routine appointment.

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