After 10 minutes, the cadet's symptoms start to return and they have a second auto-injector with them. What should happen?

A. Never use a second dose under any circumstances, even if symptoms clearly return

B. Give the second dose immediately regardless of timing, without checking the instructions at all

C. Wait a full hour before considering whether a second dose might be needed

D. If the instructions allow for it (many auto-injectors specify a minimum gap, often around 5-15 minutes, before a second dose) and symptoms are clearly returning, use the second auto-injector while continuing to call for or travel towards medical help as quickly as possible

A. Give them a strong coffee to help them feel more alert

B. Wait calmly to see if the swelling goes down on its own over the next hour

C. Tell them to lie completely flat on their back immediately, regardless of how they are breathing

D. Recognise this as a possible severe allergic reaction (anaphylaxis) and act immediately — check if they carry their own auto-injector (such as an EpiPen) and help them use it straight away if they have one, following the instructions printed on it

A. Assume the auto-injector has completely solved the problem and no further help is needed

B. Wait several hours to see whether the symptoms come back before calling anyone

C. Only call for help if a second auto-injector is not available on board

D. Call for emergency medical help immediately — even after using an auto-injector, the person needs proper medical assessment, since symptoms can return after the medicine wears off. Call the Coastguard on VHF (or 999/112 if in range) and explain a severe allergic reaction has occurred