Recognizing medical emergencies
Medical emergencies - how to recognize them
According to the American College of Emergency Physicians, the following are warning signs of a medical emergency:
that will not stop
- Breathing problems (difficulty breathing
, shortness of breath
- Change in mental status
(such as unusual behavior, confusion
, difficulty arousing)
- Chest pain
- Coughing up or vomiting blood
or loss of consciousness
- Feeling of committing suicide or murder
- Head or spine injury
- Severe or persistent vomiting
- Sudden injury due to a motor vehicle accident, burns or smoke inhalation, near drowning, deep or large wound, etc.
- Sudden, severe pain anywhere in the body
- Sudden dizziness
, or change in vision
- Swallowing a poisonous substance
- Upper abdominal pain
- Determine the location and quickest route to the nearest emergency department before an emergency happens.
- Keep emergency phone numbers posted by the phone. Everyone in your household, including children, should know when and how to call these numbers. These numbers include:
- Fire department
- Police department police
- Poison control center
- Ambulance center
- Your doctors' phone numbers
- Contact numbers for neighbors or nearby friends or relatives.
- Work phone numbers
- Know at which hospital(s) your doctor practices and, if practical, go there in an emergency.
- Wear a medical identification tag if you have a chronic condition or look for one on a person who has any of the symptoms mentioned.
- Get a personal emergency response system if you are elderly, especially if you live alone.
WHAT TO DO IF SOMEONE NEEDS HELP
Upon arriving at an emergency room, the person will be immediately evaluated. Life- or limb-threatening conditions will be treated first. Persons with conditions that are not life- or limb-threatening may have to wait.
CALL YOUR LOCAL EMERGENCY NUMBER (SUCH AS 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
Blackwell, TH. Emergency Medical Services. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 190.
Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Stephanie Slon, and Nissi Wang.