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
Call emergency services for:
Severe or rapidly worsening breathlessness
Chest pain, fainting, or collapse
New confusion, extreme drowsiness, or difficulty waking
Blue or grey lips or skin
Heavy bleeding or vomiting blood
Signs of shock, such as cold clammy skin with severe weakness
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
Hepatic ischemia is commonly linked to conditions that need urgent hospital treatment.
Seek urgent same-day medical care for new yellowing of the skin or eyes, dark urine with marked weakness, persistent vomiting, or upper-right abdominal pain after recent major surgery or transplantation.
Contact your care team sooner if symptoms return or become worse rather than waiting for the next planned visit.
3
Does any of this apply?
Book an appointment
If you are recovering from hepatic ischemia and otherwise feel stable, routine follow-up is used to repeat blood tests and manage the condition that caused it.
Every sign above is quoted from the sofidex article on Hepatic ischemia. If you are not sure, err upward — it is always reasonable to be checked.