Monday, March 1, 2010

Handle with Care: Emergency Room Care


There is a growing trend today to go to the emergency room even when there is no indication of a real emergency. In many cases people are refraining from scheduling a visit with their doctor in favor of an expensive and uncomfortable emergency room visit.

Non-emergency patients may find that they have to wait upwards of 2 hours or more to be seen by a physician in the emergency room. This is due to the fact that the ER practices triage, a system which assures that the most urgent cases, the real emergencies, get the immediate care that they need without having to wait on line. In many cases in real emergencies having to wait for care could mean the difference between life and death.

But what about the in-between cases in which one is not sure whether they are experiencing a “real” emergency or it is something better seen by your doctor in his office after scheduling an appointment.

The first rule is that if you believe you are experiencing a medical emergency, then you should not hesitate to go to the ER. Short of that, it might be prudent to first call your regular doctor, describe your symptoms, and have your doctor help you decide what you should do. It is possible that your doctor will tell you to come to his office to check you, and squeeze you in between his regularly scheduled patients to be sure you either do or do not need to go to the ER.
Most primary care doctors are available 24 hours a day, or else are part of a practice with a group of doctors in which there is always someone on call.

It is a good idea to become familiar with the kind of symptoms requiring an ER visit. The American College of Emergency Physicians (ACEP) published a booklet describing the signs and symptoms of illnesses and injuries which need immediate medical attention in an emergency room. To receive a free copy you can call the ACEP at 800-446-9776.