Escalation guide

How to use this page

Choose the level that fits your situation and seek medical support if your condition gets worse. Do not wait if something seems serious.

Fever above 38°C, chills, severe weakness, especially 7-14 days after chemotherapy. This is an emergency that cannot wait.

• Call 112 IMMEDIATELY or go to the emergency room of the nearest hospital with an oncology unit.
• At triage, say clearly: "I am a cancer patient on chemotherapy, I have a fever above 38°C, and I may be neutropenic."
• Do not take fever-reducing medication without telling your doctor — it can mask how serious the infection is.
• Bring with you: your medical documents, the full list of your medication, and the date of your last chemotherapy.

For symptoms that are new, unclear, or last longer than you expect, but are not immediately severe.

• Write down exactly what you feel, when it started, and what makes it better or worse.
• Call the clinic where you are being followed and ask for a call back from your treating doctor.
• Have the list of your current medication at hand when you speak with the doctor.
• If you do not get a response within 24 hours, call again and mention that you are a cancer patient.

For logistical support, uncertainty about the next steps, or when you need someone to guide you.

• Call or message your patient navigator — this is the person who can point you in the right direction quickly.
• Say clearly what worries you and for how long.
• Ask for help with overdue appointments or with understanding your results.
• If you do not have their contact details, call the clinic reception and ask to be directed to the navigator.

When your condition changes visibly — sudden fatigue, fever, new pain — and you need a same-day assessment.

• Call the family member or friend who helps you and tell them you need support today.
• Call the medical facility and describe the situation: you are a cancer patient and something has changed.
• Do not stay home alone if you feel unsteady — ask someone to stay with you.
• Get your medical documents and medication ready in case you need to travel.

For signs that cannot wait: trouble breathing, chest pain, sudden confusion, uncontrolled bleeding.

• Call 112 or go directly to the emergency room of the nearest hospital.
• At triage, say clearly: "I am a cancer patient, I have [the symptom], and I need an emergency assessment.
• Bring with you: your ID, your medical file, the full list of your medication, and your treating doctor's contact.
• Do not drive alone if you feel dizzy or weak — call someone or an ambulance.