SECTION 01
Separate routine questions from changing symptoms
Questions about dressings, expected swelling, appointments or how to take a prescribed medicine can usually follow the team's normal contact process. A symptom that is worsening, unexpected or affecting function should be reported promptly with the procedure date and a concise description.
Use unfiltered photographs only when requested and do not manipulate a wound to obtain an image. A photograph cannot replace vital signs, palpation, imaging or other parts of an examination.
SECTION 02
Examples that require prompt clinical contact
Increasing redness, warmth, pain or swelling; new drainage; fever; repeated vomiting; wound opening; medicine reactions; inability to drink; new one-sided leg symptoms; or a change the discharge sheet identifies should be discussed promptly with the treating team or a qualified local clinician.
The list differs by operation. Eye, nose, breast and body procedures can have specific warning signs, so the written discharge instructions take priority over this general guide.
SECTION 03
Emergencies belong with local emergency services
Breathing difficulty, chest pain, collapse, fainting, confusion, sudden vision loss, uncontrolled bleeding, a rapidly expanding swelling, severe allergic symptoms or other severe and rapidly worsening illness requires emergency assessment. Contact local emergency services immediately.
Do not wait for an overseas coordinator or social-media reply. After emergency care begins, the treating team can share records and coordinate with the local clinicians when possible.
- Call the local emergency number for severe symptoms.
- Bring the procedure summary and medicine list.
- Have a companion communicate if the patient cannot.
SECTION 04
Prepare the contact ladder before travel
Before discharge, record the primary contact, after-hours route, treating facility, next review and local emergency number. Ask what response time to expect and what to do if no one replies.
For international travel, identify a clinician near the recovery accommodation and another near home. Remote follow-up can support continuity, but the treating team should explain which concerns require in-person review.