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When to Go to the Emergency Room: Symptoms You Should Not Ignore Laura L. Dollison, DO, FACEP, medical director, Lakewood Hospital ER What is an emergency? •Something that requires immediate care •Serious illness or injury or serious symptoms Individuals on blood thinners should go to the ER if they fall or hit their heads. Uncontrolled bleeding What is a serious symptom? •Injury, nasal, mouth, vaginal, penile, rectal Chest Pain Severe pain due to injury Four systems can cause chest pain: •Heart, lungs, stomach and muscle/ribs Heart associated symptoms •Shortness of breath, nausea and sweating, chest pain, jaw, back, neck pain Sometimes women and people with diabetes have different symptoms •Tremendous fatigue, “heartburn”, anxiety •Back pain: radiation down the leg, loss of bowel or bladder control •Deformity or lack of color of the arm or leg •Uncontrolled bleeding Weakness/Numbness •TIA (transient ischemic attack) mini or warning stroke •CVA (cerebrovascular accident) – major stroke – Symptoms: arm drift, facial droop, garbled speech, vision changes, dizziness Two types of stroke: bleeding and blood clots •Bleeding – usually have severe headache •Blood clots – usually don’t have headaches, but do have numbness and weakness Lakewood Hospital 14519 Detroit Avenue Lakewood, OH 44107 Headache: migraine, classic or other •New onset-never had this pain before •Different or most severe •Sudden onset: vomiting/weakness Coughing/Vomiting Blood •Coughing up blood •Vomiting blood – Esophagus, stomach, intestines Continued on back 216.521.4200 lakewoodhospital.org/ER Abdominal pain associated with Persistent Fever •Nausea/vomiting/diarrhea •Fever •Through to back and severe •Unrelieved 30–60 minutes after taking fever reducing medication •Recent surgery •Sudden/severe cough •Nausea/vomiting •Wounds •Burning during urination Fainting •Can be a sign of malnutrition, dehydration, medications, irregular heartbeat or other •All elderly who faint should be seen Shortness of Breath Sudden onset, associated pain, history, asthma or emphysema •Recent surgery-possible blood clot in lungs •Heart history •Angina/Heart attack Persistent Vomiting/Diarrhea •Dehydration: increased thirst, decreased urination, lightheaded with standing Seizures •New onset: general shaking, unresponsiveness •Known seizures: continuous, or repetitive or unusual •Swallowing one’s tongue is a myth FAST The National Stroke Association uses the following information to get people to act faster in recognizing symptoms and getting help. It is recommended to think “FAST”: F – FACE: Ask the person to smile. Does one side of the face droop? A – ARM: Ask the person to raise both arms. Does one arm drift downward? S – SPEECH: Ask the person to speak a simple phrase. Does the speech sound slurred or strange? T – TIME: If you observe any of these signs, then call 911 or take the patient to a hospital with a Primary Stroke Center, such as Lakewood Hospital.