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
Get emergency help for severe trouble breathing, blue or grey lips, new confusion, fainting, severe chest pain, or difficulty waking.
These signs can occur with serious lung infection, sepsis, or another medical emergency.
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 assessment if you develop fever or flu-like symptoms after a likely exposure, especially with:
A skin ulcer and nearby swollen lymph nodes
A painful, red eye after handling an animal
A severe sore throat after drinking untreated water
Cough, chest discomfort, or shortness of breath
Recent contact with a rabbit, hare, rodent, or animal carcass
During treatment, contact the healthcare team promptly if fever continues, symptoms worsen, significant medicine side effects develop, or symptoms return.
3
Does any of this apply?
Book an appointment
Persistent tiredness or slowly shrinking lymph nodes can be discussed at routine follow-up if there are no new or worsening symptoms.
Every sign above is quoted from the sofidex article on Tularemia. If you are not sure, err upward — it is always reasonable to be checked.