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Know When to go to the Emergency Room

ER Entrance Sign

An Easy Reference Guide

With so many medical care options these days, it’s confusing to know when you should go to the Emergency Room (ER) and when you should seek care at your doctor’s office or urgent care center. When in doubt, trust your instincts. If you think you’re having a true medical emergency, always call 9-1-1.

This easy reference guide takes some of the guess work out of deciding. 

Fever

FIRST: Try acetaminophen or ibuprofen to control your fever. If your fever doesn’t go down, call your primary care physician or visit an urgent care facility. 
GO TO THE ER: If you have a fever higher than 105 degrees.

Flu Symptoms

FIRST: Most physicians suggest you stay home and treat symptoms with over-the-counter medications and fluids. Your physician may prescribe medicine. After hours, your physician may have an answering service. Urgent care facilities are also a good option when your physician’s office is closed.
GO TO THE ER: If you’re having difficulty breathing, a prolonged high fever, severe dehydration or relapse after getting better.

Broken Bone, Strain or Sprain

FIRST: Typically a strain or sprain can be evaluated in a physician’s office or urgent care center. You may be referred for tests, physical therapy or to a specialist.
GO TO THE ER: If you think you broke a bone. 

Non-urgent Imaging Tests

FIRST: Imaging studies such as an MRI, CT scan or X-ray, can be performed at many area imaging centers.
GO TO THE ER: If your physician has expressed an urgent need for a test and it must be conducted after hours.

Head Injury

GO TO THE ER: If you hit your head, lose consciousness, experience a seizure and/or are vomiting.

Heart Attack or Stroke Symptoms

It’s especially important to call 9-1-1 if you are experiencing chest and/or arm pain, trouble breathing, excessive sweating and fatigue. These can all be symptoms of a heart attack. Howard County Fire and Rescue Services are specially trained to evaluate and stabilize heart attack patients while our team mobilizes at the hospital to prepare for your arrival. Do not drive yourself to the hospital.

Your insurance company may have a nurse hotline that can provide treatment and care setting advice. Many physician practices now offer after-hours urgent care as well or an answering service, so check with your physician about these types of services. Also know that your primary care physician knows you and your medical history best and can often guide you to the appropriate treatment facility during office hours. 

 


By Robert Linton, M.D., director of the HCGH Emergency Department

 

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