Assemble a laminated card listing emergency contacts, insurance numbers, blood type, allergies, and implanted devices. Add concise translations for your conditions and medications in the languages you will encounter. Store duplicates in your wallet, day pack, and cabin safe. Program your phone’s medical ID with the same information. If traveling alone, ask a staff member to hold a sealed copy at reception. Keep a simple script for requesting help, so stress does not erase essential words when speaking to station staff or ship personnel.
Before departure, map reputable clinics near major railway hubs and river ports, saving addresses offline. Verify hours, accepted payment methods, and whether they coordinate with international insurers. Ask the ship’s purser or rail concierge for local recommendations if symptoms arise. Bring a compact thermometer, blood pressure cuff if advised, and a small first‑aid kit for minor issues. Document symptoms and timing to help clinicians. Leave with receipts, discharge notes, and prescriptions, then email copies to your insurer and primary doctor to keep everyone aligned.