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
A head injury needs emergency assessment because bleeding inside the skull may not be visible.
Call emergency services for a severe headache after injury, repeated vomiting, confusion, unusual sleepiness, weakness, a seizure, or loss of consciousness.
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 the haematology team promptly before surgery, dental extraction, pregnancy, or childbirth.
Planning is safer than waiting for bleeding to begin.
Seek urgent medical help for:
Bleeding that is heavy or does not stop with the measures in your plan
Vomiting blood, coughing up blood, or passing black or bloody stools
Blood in the urine
Severe or rapidly increasing menstrual bleeding
Dizziness, fainting, marked weakness, or difficulty breathing after blood loss
Significant injury, even if visible bleeding seems limited
3
Does any of this apply?
Book an appointment
Arrange routine follow-up if nosebleeds, gum bleeding, bruising, or menstrual bleeding is becoming more frequent.
Tiredness, reduced exercise tolerance, headaches, or pale skin may suggest iron deficiency and should also be assessed.
Every sign above is quoted from the sofidex article on Glanzmann thrombasthenia. If you are not sure, err upward — it is always reasonable to be checked.