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 medical care for:
A significant head injury, especially with headache, vomiting, confusion, unusual sleepiness, weakness, or a seizure
Heavy bleeding that cannot be controlled or causes faintness
Vomiting or coughing up blood
Black, tar-like bowel movements or a large amount of visible blood
Sudden severe abdominal, back, chest, or joint pain with swelling
Trouble breathing, swallowing, speaking, or moving part of the body
Heavy bleeding during pregnancy or after childbirth
Use your emergency treatment plan if you have one, and tell the emergency team that you have factor VII deficiency.
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
Contact your bleeding-disorders team promptly about a joint or muscle bleed, repeated nosebleeds, blood in urine, worsening menstrual bleeding, or bleeding after a procedure.
3
Does any of this apply?
Book an appointment
Use routine follow-up to update procedure plans, discuss pregnancy or activity choices, check iron levels, and report gradual changes in bruising or bleeding.
Every sign above is quoted from the sofidex article on Factor VII deficiency. If you are not sure, err upward — it is always reasonable to be checked.