Choosing the right care in a pinch: How to know where to go

By: 
David Knieriem, MD, Medical Director, ProMedica Urgent Care

        At some point, nearly everyone has faced the dilemma: should I go to urgent care or the emergency room? Deciding where to seek medical care in the moment can sometimes feel overwhelming. By understanding the services offered at each facility, you may find yourself better equipped to decide when it matters most.
        Knowing the difference
        The primary difference between urgent care and an emergency room (ER) is the level of care provided and the types of conditions treated. Urgent care centers handle non-life-threatening issues that require immediate attention but are not severe enough for an ER visit. Urgent care visits are generally less expensive than ER visits because the level of care is less intensive.
        Emergency rooms are equipped to handle severe, life-threatening emergencies such as heart attacks, strokes, major trauma, severe bleeding and other critical conditions. Emergency rooms are open 24/7 to address emergencies at any time of day or night. Urgent cares are open 365 days a year and typically offer hours beyond primary care offices but may only be open part of the day. Some urgent cares also offer virtual visits.
        When to visit urgent care
        Urgent care centers handle a variety of non-life-threatening conditions that need prompt attention. Some of the most common conditions seen include:
        • Minor injuries: Sprains, strains, minor fractures, and cuts or abrasions.
        • Infections: Mild to moderate infections such as ear infections, sinus infections, sore throats, sexually transmitted diseases, and urinary tract infections (UTIs).
        • Respiratory issues: Conditions like mild asthma exacerbations, bronchitis and coughs.
        • Gastrointestinal problems: Issues such as nausea, vomiting, diarrhea and abdominal pain.
        • Skin conditions: Rashes, insect bites, and mild allergic reactions.
        • Minor burns: Superficial burns from cooking or other sources.
        • Fever: Especially in children or when accompanied by other symptoms like a sore throat or rash.
        • Sprains and strains: Injuries to muscles, ligaments, or tendons that are not severe.
        • Minor headaches and migraines: For relief and evaluation when not accompanied by severe symptoms.
        • Lacerations: Minor cuts that may require stitches or other basic wound care.
        Medical emergencies
        If you have a serious or potentially life-threatening issue, seeking emergent care at the ER is the appropriate choice. Severe symptoms such as chest pain, difficulty breathing, sudden severe headache, signs of stroke or major trauma are always emergencies and warrant a call to 9-1-1.
        Other symptoms that should be seen in the ER include:
        • Severe allergic reactions: Anaphylaxis requiring advanced intervention.
        • Uncontrolled bleeding: Significant wounds or internal bleeding.
        • High fever: Especially in infants, young children, and adults with other severe symptoms.
        • Severe abdominal pain: Indications of conditions like appendicitis or other critical issues.
        • Mental health crises: Severe psychiatric emergencies, such as suicidal ideation.
        • Signs of sepsis: High fever, rapid heart rate and other symptoms of severe infection.
        For less severe but still urgent problems, an urgent care center is usually a more convenient and cost-effective option. If you are unsure whether you should go to urgent care or emergency care and your symptoms are not life-threatening, your primary care provider can provide individualized guidance based on your specific condition and past medical history.

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