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When to Go to the ER

Stories by Marti Benedetti

Knowing when to go to an emergency room can be confusing, especially when you may have to wait a long time for what may not be an emergency after all. Suzanne White, M.D., chairwoman of emergency medicine at Wayne State University and specialist-in-chief of emergency medicine at the Detroit Medical Center, offers this advice.

When should I go to the ER or take someone to the ER?
If someone appears to have difficulty breathing, collapses and is unconscious, or has uncontrolled bleeding or chest pain, call 911 or go straight to an ER. Sometimes it is hard to determine an emergency. A 911 operator should be able to assist you and can send help if necessary. If you suspect poisoning, call Poison Control at 800.222.1222.

What about the wait?
Nationwide, ER overcrowding is a problem and could get worse because of an aging population and fewer ERs. The American College of Emergency Physicians says patients are seen based on the severity of their illnesses – not on a first-come, first-serve basis, which also can lead to longer wait times. Many local medical systems are now advertising wait times of 30 minutes or less.

Why can’t I just go to an urgent-care clinic?
Urgent care is really an afterhours option when your doctor’s office is closed. You often won’t get a board-certified emergency doctor. But there is a place for these services when you have a less serious health issue. However, you may want to call your primary care doctor first. Many have mechanisms to work patients into their schedules.