Your guide to ER care.
It's not always clear when you should go to the emergency room and when you should wait. But, knowing what to do could save your life in a medical emergency.
Our symptom checker can help guide you to make the right decision about going to the ER at LewisGale.
If you aren’t sure whether you should come to the ER or wait for your doctor’s office to open, you can contact a nurse, 24 hours a day, by phone at 877-242-2362.
ER Symptom Checker — When should you go?
Back pain is a very common complaint, but it can be a sign of something serious that needs medical care right away. If your back pain is unbearable or if the pain also comes with any of the following symptoms, you should seek emergency care right away:
- Sudden numbness or weakness
- Confusion, slurred speech or inability to speak, vision loss
- Loss of control over bladder or bowels
Without an x-ray, it can be hard to tell if a bone is broken, dislocated, or if you just have a bad sprain. Along with pain, the following symptoms may mean your bone is broken and you need medical care:
- Bruising around the area
- Deformity or a bone bulging through the skin
- A grating sound or a feeling caused by friction between bone and cartilage or the fractured parts of a bone (crepitus)
Call 911 right away if you have chest pain that is crushing or squeezing and comes with any of these symptoms:
- Shortness of breath
- Nausea or vomiting
- Pain that spreads from the chest to the neck, jaw or arms
- Fast or irregular pulse
- Signs of shock
Signs of a heart attack may show up in other ways in women, and may include:
- Unusual fatigue
- Shortness of breath
- Nausea or vomiting
- Dizziness or lightheadedness
- Discomfort in your gut
- Discomfort in the neck, shoulder, or upper back
A concussion or any injury to the head can be very serious. If you have hit your head and have any of these symptoms, you should go to the ER:
- Loss of consciousness, even briefly
- Any period of amnesia, or loss of memory of the event
- Slurred speech
- Feeling dazed or confused
- Worsening or severe headache
The flu virus is very common and does not normally require a visit to the ER. But, for the high-risk populations listed below, it can be very serious:
- People over the age of 65
- Pregnant women
- People with certain diseases, such as asthma or chronic obstructive pulmonary disease (COPD)
- People with weakened or compromised immune systems
Signs that you should go to the ER with the flu include:
- Trouble breathing
- Vomiting that can’t be controlled, to the point of severe loss of body fluids (dehydration)
- If you develop complications such as pneumonia
Stomach pain is the most common reason patients visit the ER. You should seek medical care right away if any of these symptoms accompany your stomach pain:
- Stomach is hard and/or tender to the touch
- Persistent nausea or vomiting
- Unable to eat without nausea or vomiting
- Pain in your chest, neck, or shoulder
- Shortness of breath or dizziness
- High fever
- Irregular heartbeat
- Dark or black stool
- Vomit contains blood
Call 911 right away if you think you or a loved one are having symptoms of a stroke. Quick action after symptoms appear saves brain cells and quality of life.
Signs of a stroke include sudden:
- Numbness or weakness of face, arm or leg, especially on one side of the body
- Confusion, trouble speaking, or trouble understanding
- Trouble seeing in one or both eyes
- Trouble walking, dizziness, loss of balance or coordination
- Severe headache with no known cause
Respiratory distress can be the result of chronic conditions like asthma or something as serious as heart failure. Signs that you should seek emergency medical treatment include:
- Breathing stops
- Severe shortness of breath that affects your ability to function
- Noisy, high-pitched, and rapid wheezing
- Pain or tightness in chest
- Coughing up blood
Coming to our ER - What to expect:
When you first get to the ER, a triage nurse will ask you about your symptoms and take some vital signs. Once you have seen a health care professional, a registration clerk will get information for your medical record and insurance. Whether or not you have insurance or are able to pay, you will be medically screened, evaluated and stabilized.
If you have a life-threatening illness or injury, you will be first to be treated in the ER, followed by seriously ill or unstable patients. All others will be seen in the order that they come to the ER. We strive to make your time in the waiting room as pleasant and brief as possible.
What to bring with you to the ER:
- List of medicines you take or the actual medicines
- List of known medical allergies
- A copy of results from any recent medical tests
- List of recent medical procedures
- Care preferences or restrictions
- A responsible adult or phone number for someone to contact
Before you are sent home, ask any questions you may have about your care. Make sure you keep all your paperwork, discharge instructions, and medicines if you receive any.
If you have a primary care provider listed in your medical record, we will give them a copy of your visit summary. Contact your primary care provider after you visit our emergency room. If you don’t have a primary care provider, we’re here to help you find one. Search Find A Doctor and make an appointment.