Am I Having an Emergency?

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Am I Having an Emergency?


Getting immediate medical help when having a medical emergency can save a life, but knowing what’s an emergency and what isn’t can sometimes be hard to decipher.

Some may even ignore emergency symptoms if they’re not severe enough because they’re worried about medical related fees. Well you can’t put a price on your life, so we’re going to give you a few tips on how to determine a potential emergency, as well as non-emergencies that don’t require an emergency room visit and instead maybe a follow up with your PCP.

Here is a list of true warning signs of a medical emergency, according to the American College of Emergency Physicians:


If you can describe a sudden headache as your “worst headache ever,” call 9-1-1. Of course, that “worst headache ever” could just be your first migraine, but it could also be a sign of bleeding in the brain (aneurysm or stroke). You don’t want to take that risk.

Even non-severe headaches can be a reason to head to the emergency room.

Seek immediate medical attention for any headache:

  • After hitting your head
  • When it comes with dizziness, vision problems, slurred speech, or loss of balance
  • With fever, stiff neck, or vomiting
  • If you have been sick recently or are taking medications that suppress your immune system

If you have diagnosed migraines or similar severe headache disorders, go to the ER if the headache feels different than usual or if it isn’t relieved by your normal treatments.


Mild dizziness or forgetting where you put your glasses (when they’re on your head) don’t qualify. You can bring those up to your doctor at your next office visit, or go to an urgent care for a quick checkup.

The important words here are SUDDEN and/or SEVERE.

However, if any of these symptoms come on suddenly or are severe, call 9-1-1 or get to an emergency room:

  • Clumsiness, loss of balance, or fainting
  • Unexplained loss of consciousness
  • Difficulty speaking or trouble understanding speech


For seizures, better safe than sorry.

Call 9-1-1 or go to the emergency room in the event of a seizure, unless the person has a diagnosed seizure disorder (e.g., epilepsy). For people with such disorders, seizures are not usually a cause for alarm. An action plan can help inform family and friends what to do during a seizure and when it’s an emergency. Still, if you witness a seizure and don’t know if the person has a seizure disorder, play it safe and call 9-1-1.


Sometimes, the most serious symptoms don’t start for hours or days after the injury. Head to the emergency room if you have any of these after a head injury:

Any significant bump to the head should trigger a medical visit.

  • Extreme fatigue or sleepiness
  • Severe mood swings
  • Severe headache or neck/muscle stiffness
  • Different size pupils (the black portion of the eye)
  • Vomiting
  • Dizziness/loss of consciousness
  • Inability to move arms or legs
  • Seizures
  • Ringing in the ears


Eye injuries can lead to vision loss if not treated promptly.

Head to the emergency room if there is:

  • Pain or trouble seeing
  • Cuts or tears in the eyelid
  • Objects in the eye or under the eyelid that can’t be removed easily
  • Blood in the clear part of the eye
  • Different pupil sizes or shapes
  • One eye not moving as well as the other or sticking out more


For babies under 3 months old, any temperature higher than 100.4°F is cause for an ER visit.

Most fevers don’t require an ER visit, unless they are one of the following:

  • Over 104°F in adults
  • Accompanied by other severe symptoms (e.g., racing heartbeat, stiff neck, rash, trouble urinating, swollen legs, weakness, fainting, diarrhea, and/or vomiting)
  • Not responding to medications like acetaminophen (Tylenol®) or ibuprofen (Advil®, Motrin®)


Even non-heart attack related chest pain can signal something life threatening.

It may feel more like pressure or squeezing than sharp pain – but any chest pain is worthy of an emergency room visit. Even non-heart attack related chest pain can signal something life threatening, such as a severe lung infection. Severe and sudden chest pain may occur alone or with other symptoms, such as radiating pain to the arm or jaw, sweating, vomiting, or shortness of breath.


People sometimes refer to everything from a mild cough to severe wheezing as a “breathing problem.” To know whether it’s an emergency, consider these questions:

If any of these answers are YES, call 9-1-1 or head to the ER.

  • Did it come on suddenly?
  • Is it severe?
  • Is it accompanied by chest pain, nausea, vomiting, or fainting?
  • Does it affect the ability to talk?
  • Are the lips or fingertips turning blue?

People with asthma or chronic lung disease may be directed by their physicians to go to the emergency room, if their regular medical/action plan does not improve breathing.


Any sudden and severe pain is a signal to head to the ER.

Sudden and severe pain anywhere in the body is a signal to head to the emergency room. Of most concern is any pain in the abdominal area or starting halfway down the back.


All animal bites need ER attention.

Head to the emergency room for any deep cut, especially on the face, eye, or genital area. Also, go to the ER for animal bites and any wound that won’t stop bleeding.


Size, severity, and the type of burn determine when to go to the ER.

Go to the ER if burns:

  • Char, blister, or leave open skin
  • Are on the hands, face, feet, genitals, or joints
  • Cover a large area of skin, even if the burns are mild
  • Electric or chemical burns

Also, go to the emergency room if there is any reason to suspect that the person inhaled smoke or fumes.


If you are experiencing these symptoms after hours, going to the emergency room will always be your best course of action.

While bleeding or spotting during pregnancy can be scary, it’s also very common and does not always mean miscarriage. The choice to go to the emergency room depends on your OB/GYN and the time of day. Typically, your doctor will ask you to come in to figure out the best course of action based on your medical history.

Pregnant women should always go to the emergency room if any of these occur:

  • Abdominal pain accompanied by dizziness
  • Unusually heavy bleeding
  • Symptoms of shock (such as agitation, confusion, or physical signs of lack of oxygen)


Since testicles are very sensitive, even a minor injury can cause discomfort.

Pain in one or both of the testicles can have a number of possible causes. Sometimes, pain felt in the testicles is actually a sign of groin or abdominal issues. Other times, pain in the testicle itself is caused from issues with the supporting tube and tissue.

If issues are sudden and severe, this can be a sign of testicular torsion or a twisted testicle. Testicular torsion can cause the body part to lose its blood supply, resulting in loss of the testicle. If you suspect testicular torsion or if testicular pain is accompanied by nausea, fever, chills, or blood in your urine, it’s important to seek medical attention immediately.

Sometimes it’s obvious that a situation is an emergency. But sometimes it’s not. If you think you’re experiencing an emergency call 9-1-1 immediately. Our nurses are also available to answer your questions. Or locate the ER closest to you.

Most importantly you should always be prepared in the case of a medical emergency. 

-Locate your nearest neighborhood emergency room and the quickest route to get there

– Keep a list of emergency numbers for family as well as local emergency numbers such as: fire department, police department, poison control center, ambulance center, and your doctors’ phone numbers.

Last but not least here are some important Emergency Tips to keep in mind:

  • Call 911 if the person’s condition is life threatening (for example, the person is having a heart attack or severe allergic reaction)
  • The person’s condition could become life threatening on the way to the hospital
  • Moving the person could cause further injury (for example, in case of a neck injury or motor vehicle accident)
  • The person needs the skills or equipment of paramedics
  • Traffic conditions or distance might cause a delay in getting the person to the hospital


Henrico Doctors’ Hospital. (2020, March 18). When to go to the ER.

Medline Plus. (2020, August 25). Recognizing Medical Emergency.