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Is It a
Real Emergency? 
Be prepared; medication list; physical condition

    December 2001

More than 100 million Americans visit the emergency room each year. Many of these people are victims of accidents, heart attacks and strokes. However, experts say that many ER visits are not true emergencies.

Before a true medical emergency strikes, know when to seek emergency medical treatment and how to prepare for a visit to the ER. If you have any doubts as to whether your condition is a medical emergency, speak with your doctor immediately, or call 911.

You should seek emergency medical treatment for the following conditions:

  • Loss of consciousness
  • Signs of heart attack (sudden chest pain with shortness of breath, sweating, nausea, vomiting, dizziness) that last two minutes or more
  • Signs of a stroke (sudden weakness or numbness of the face, arm or leg, usually on one sign of the body; difficulty speaking or understanding language; decreased or blurred vision in one or both eyes; sudden, severe headaches; unexplained loss of balance or dizziness)
  • Severe shortness of breath
  • Bleeding that does not stop after 10 minutes of direct pressure
  • Sudden, severe pain
  • Poisoning (call your local poison control center first and ask for immediate home treatment advice)
  • A severe or worsening reaction to an insect bite or sting, or to a medication, especially if breathing is difficult
  • A major injury, such as a head trauma
  • Unexplained stupor, drowsiness or disorientation
  • Coughing up or vomiting blood
  • Severe or persistent vomiting
  • Suicidal or homicidal feelings
  • Fainting
  • Choking
  • Broken bone
  • Not being able to move or speak

The following conditions probably do not warrant a trip to the ER:

  • Earache, colds, cough, sore throat, flu
  • Minor cuts where bleeding is controlled
  • A minor dog or animal bite where bleeding is controlled (but see your doctor)
  • A muscle sprain
  • A sunburn or minor burn from cooking
  • An insect sting or delayed swelling from a sting (without breathing difficulty)
  • A skin rash
  • Low grade fever
  • Sexually transmitted diseases.

"Although we often cannot predict when an emergency medical situation will occur, there are some things we can do to be better prepared, should the need arise," says Jerry Kripal, M.D., emergency medicine director at The Fort Hamilton Hospital. "Being prepared can help save precious time during an emergency, and it can help you handle it calmly, quickly and effectively."

First, make sure you have a primary care physician who is available 24 hours a day (or shares call with colleagues) for urgent needs. Keep important medical information with you, containing the name and phone number of your regular doctor, any allergies or chronic medical conditions, and medications you take. This will be useful in case you are unconscious or are feeling too ill.

Make sure you know which emergency services are covered by your insurance and what instructions you need to follow in urgent situations. Also, some plans require notification within a few hours of being admitted or your treatment may not be covered.

Sources:  Robert Bazell's Healthbeat on MSNBC

Emergency Services
at the Health Alliance of Greater Cincinnati

When seconds count . . . Count on us

The Health Alliance hospitals, Christ, University, St. Luke, Jewish and Fort Hamilton, are dedicated to providing our community with emergency services of the highest quality. We offer many of the most experienced and most trusted emergency care specialists—doctors, trauma surgeons, paramedics, nurses, social workers and other staff. Our experienced staff members are experts in every type of urgent care, from minor cuts to severe trauma.

The Christ Hospital in Mt. Auburn is a Level II emergency facility, handling most medical, obstetric and traumatic emergencies. The emergency room specializes in adult cardiac and complex internal medicine care.

The University Hospital in Clifton is the only verified Level I trauma center in the area that treats adult patients. To receive trauma verification, hospitals must meet rigorous national standards and have the capability of handling complex multi-system trauma. The University Hospital is also home to the area’s only center for hyperbaric oxygen therapy. The Center for Hyperbaric Medicine is available 24 hours a day for the treatment of many conditions, including carbon monoxide poisoning. Additional services include a Rapid Diagnosis and Treatment Center for patients who require extended emergency care; a Heart ER program; and a multidisciplinary team of professionals who evaluate psychiatric emergencies.

The University Hospital also offers Air Care, the area’s only dedicated helicopter ambulance service. Our Air Care helicopters deliver superior care while saving precious seconds that often mean the difference between life and death. Since 1984, Air Care has provided more than 17,000 life-saving transports to patients within a 150-mile radius of Cincinnati and beyond.

St. Luke Hospital East in Fort Thomas and St. Luke Hospital West in Florence are full service emergency facilities dedicated to serving the communities of Northern Kentucky. At St. Luke West, the Pediatric Urgent Care Center provides immediate medical care to children when their doctors’ offices are closed. The center is open daily between 4 and 11 p.m.

Serving Cincinnati’s Northeast suburbs, The Jewish Hospital in Kenwood offers a full service emergency department that treats patients of all ages.

The Fort Hamilton Hospital in Hamilton is a full-service facility that is expanding to accommodate additional patients. It includes a fast track area that treats most minor injuries within one hour.

The University Hospital, The St. Luke Hospitals and The Fort Hamilton Hospital also offer a special program called SANE (Sexual Assault Nurse Examiner) for survivors of sexual assault. Specially trained nurses in these emergency departments provide comprehensive, compassionate care for victims of sexual assault. In addition, they provide evidence to prosecutors and law enforcement officials to assist in the arrest and prosecution of sexual assault criminals.

 For more information about the Health Alliance’s emergency services, please call one of our hospitals:

The Christ Hospital
2139 Auburn Avenue
Cincinnati, OH 45219
513-585-2235
The University Hospital
234 Goodman Street
Cincinnati, OH 45219
513-584-1000
St. Luke Hospital East
85 North Grand Avenue
Ft. Thomas, KY 41075
859-572-3151
St. Luke Hospital West
7380 Turfway Rd.
Florence, KY 41042
859- 962-5482
The Jewish Hospital
4777 E. Galbraith Rd.
Cincinnati, OH 45236
513-686-3204
The Fort Hamilton Hospital
630 Eaton Avenue
Hamilton, OH 45013
513-867-2266
FYI Links:

Injury prevention tips

Go here for some great safety tips.
 

Virtual ER

A free, online resource that is geared to professionals, but their library is extensive.
 
.

Before you go to the ER, read this

This site provide more helpful hints.
 

Find A Physician  1-888-749-DRDR

Alliance Laboratory Services


 

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Updated 12/06/05
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