Office Visit vs. an ER Visit

MHS understands that you may have health conditions that need immediate attention, many times even requiring a visit to an emergency room (ER). How do you determine if or when you or a loved one should go to the ER?

If you think that you or a family member is having a medical emergency, go to the ER to see a doctor right away. You may need to call 9-1-1 if the person’s condition needs immediate attention where you are. For non-emergencies, please contact your primary care provider (PCP), or speak with an on-call staff member or leave a voice message (if needed). You may also call NurseWise, a medical advice line at (800) 280-2348 any time for assistance.

Medical conditions that generally do not require an ER visit*:

• Earaches
• Minor cuts in which bleeding has been stopped
• A bite from an animal that has stopped bleeding (you should still call your doctor)
• Broken bone (first contact your doctor, if possible; otherwise go to the ER)
• A rash, sunburn or minor burn
• Sting or bite from an insect (unless you experience labored breathing, in that case go to the ER or call 9-1-1 immediately)
• Fever (if you are convulsing, then go to the ER)
• Sexually-transmitted diseases (STDs)
• Adult colds, kid colds and cough, sore throat, or flu symptoms

Routine medical visits may include:

• Child immunizations
• Child wellness check-ups (HealthChecks)
• Important health maintenance visits (including mammograms, pap and pelvic exam and prostate exam)
• Follow-up visits for chronic problems such as diabetes and high blood pressure
• Prenatal (pregnancy) visits
• Smoking cessation (quick smoking counseling or medication)

The American College of Emergency Physicians (ACEP) offers a list of warning signs that indicate a medical emergency.

Medical Emergencies (ACEP):

• Difficulty breathing, shortness of breath
• Chest or upper abdominal pain or pressure
• Fainting, sudden dizziness, weakness
• Changes in vision
• Confusion or changes in mental status
• Any sudden or severe pain
• Uncontrolled bleeding
• Severe or persistent vomiting or diarrhea
• Coughing or vomiting blood
• Suicidal feelings
• Difficulty speaking
• Unusual abdominal pain

*MHS supports each member and family member in their decision for medical care. Always get immediate medical attention if you think you or a loved one is having a medical emergency.