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‘Should I go to the ER or urgent care?’: Ask a doctor

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‘Should I go to the ER or urgent care?’: Ask a doctor

When you’re feeling unwell and symptoms are quickly getting worse, you know you need medical attention — but it’s not always possible to get a same-day appointment with your primary care physician.

When sudden and severe sickness requires immediate care, the two most common options are to visit an urgent care or to head to a hospital emergency room — but how do you know which is best?

Fox News Digital spoke with multiple doctors to determine when an urgent care center will suffice and when a trip to the ER is warranted.

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When to go to an urgent care

Urgent care centers provide immediate health care services for walk-in patients, typically offering extended hours and same-day availability.  

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When sudden and severe sickness requires immediate care, the two most common options are to visit an urgent care or to head to a hospital emergency room. (iStock)

They can be considered a “middle ground” between a primary care doctor and the ER, according to Mayo Clinic.

There are 10,728 active urgent care clinics in the U.S. as of earlier this year, according to Definitive Healthcare in Massachusetts.  

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Urgent care centers typically treat a broad spectrum of illnesses and injuries, and may have a treatment or procedure room for performing minor medical procedures such as stitches, casts and low-risk surgery under local anesthetic only, according to the same source.

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Other services may include basic laboratory and imaging tests, as well as referrals for additional treatment. 

These centers can be staffed by doctors, nurse practitioners, physician assistants, nurses and other medical professionals.

Urgent care centers typically treat a broad spectrum of illnesses and injuries, and may have a treatment or procedure room for performing minor medical procedures. (iStock)

“If it is after hours or on the weekend, some conditions can accelerate pretty quickly and cannot wait until the next business day,” Mishi Jackson, M.D., lead clinician at Novant Health Union Cross Family Medicine in Winston-Salem, North Carolina, told Fox News Digital. 

“For example, a simple bladder infection can spread to the kidney and bloodstream and cause bad outcomes.” 

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“Most patients are pretty good at determining what constitutes something minor versus something major.”

Jackson noted that not all urgent care centers offer the same services. She encourages patients to check in advance to make sure the center they are visiting can help with their needs.

“With minor injuries or illnesses, an urgent care facility may be appropriate,” Matthew Shannon, M.D., director of community emergency medicine at University of Florida Health in Gainesville, Florida, told Fox News Digital. 

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“Most patients are pretty good at determining what constitutes something minor versus something major.”

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Below are some of the conditions that can typically be treated at an urgent care, per Mayo Clinic’s website.

The ER is open 24/7 and is equipped to treat “life- or limb-threatening health conditions,” Mayo Clinic noted, such as seizure, stroke, severe bleeding, loss of consciousness, heart attack or other escalated medical crises. (KYW)

When to head to the ER

The ER is open 24/7 and is equipped to treat “life- or limb-threatening health conditions,” Mayo Clinic noted, such as seizure, stroke, severe bleeding, loss of consciousness, heart attack or other escalated medical crises.

The emergency room is equipped with critical care services and personnel that an urgent care clinic doesn’t have, including specialists in cardiology, neurology and orthopedics, according to the same source.

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The ER will also have access to imaging and laboratory equipment that may not be available at an urgent care.

Below are some of the types of conditions that warrant a trip to the ER, as listed on Mayo Clinic’s website.

  • Chest pain or pressure
  • Compound fracture (bone that protrudes through the skin)
  • Head injuries
  • Pneumonia
  • Seizures
  • Severe abdominal pain
  • Shortness of breath
  • Sudden, severe headache, or paralysis or weakness
  • Uncontrolled bleeding

Chest pain or pressure is one of the symptoms that warrant a trip to the ER, experts say. (iStock)

Other emergency conditions include high fever, fainting or sudden onset of symptoms like speech difficulties, confusion or impaired movement on one side of the body, according to Shannon.

A patient who has been involved in a significant motor vehicle crash should also visit the ER.  

      

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Patients may encounter wait times at emergency departments, Shannon noted. 

“All patients who present to emergency departments around the country are triaged according to a system of seriousness of complaints, their medical history and vital signs,” he told Fox News Digital.

Patients may encounter wait times at emergency departments, a doctor warned. (iStock)

“Patients who are identified as ill are brought back quickly, so the medical team can begin their assessment,” he went on. “Trained emergency nursing staff and other providers are assessing you as a patient and administering first-line care.”

“Your care really begins right when you walk in the door and talk to a nurse.”

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If your condition is fairly mild, Shannon recommends trying to see your primary doctor, even if you have to wait a day. 

“If you believe you can wait, it’s certainly reasonable to try to get your primary care to see you,” he said.

“Unfortunately, we don’t seem to have enough primary care providers, and the demand for primary care continues to outstrip supply.” 

“With minor injuries or illnesses, an urgent care facility may be appropriate,” a doctor said. (iStock)

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When to call 911

If any of the following apply, you should call 911 immediately, according to the American College of Emergency Physicians.

  • Your condition is life-threatening and you need immediate medical attention
  • You can’t move yourself or another person without causing additional harm
  • You aren’t able to drive due to physical or emotional reasons and must be transported to a hospital ER

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Mayo Clinic advises calling 911 “if you are having difficulty breathing, shortness of breath, a life or limb injury, or signs of stroke or heart attack.”

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The Best Time To Drink Coffee for Weight Loss and a Faster Metabolism

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The Best Time To Drink Coffee for Weight Loss and a Faster Metabolism


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‘SuperAgers’ stay mentally sharp well past 80, as scientists reveal the reason

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‘SuperAgers’ stay mentally sharp well past 80, as scientists reveal the reason

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SuperAger Ralph Rehbock sits with his wife in his home.  (Shane Collins, Northwestern University)

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Stat of the week

More than 59% of women may have high blood pressure by 2050, according to a new report from the American Heart Association.

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Heart disease threat projected to climb sharply for key demographic

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Heart disease threat projected to climb sharply for key demographic

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A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.

The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.

More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.

The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.

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As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.

The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)

Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.

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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”

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“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.

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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”

Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)

Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”

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The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.

The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.

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“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”

Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.

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Moving more is one part of protecting a healthy heart, according to experts. (iStock)

Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.

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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.

The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.

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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”

“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”

“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)

“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”

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The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.

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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.

“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”

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