watercress words by Dr Aletha

To patients, an emergency is any medical condition which

is new, unexpected, worse than usual, uncontrolled, of unknown origin, not responding to treatment, not going away and interrupts normal life.

However, to physicians and other health care personnel, the definition of an emergency is specific.

An emergent medical condition is one that

Threatens life
Threatens one or more limbs
Threatens vision/hearing/speech/mental function/ function of any major internal organ or organ system
Has the potential, if not treated promptly, to cause death or long term and/or permanent harm.

Some examples of conditions that meet this definition are

Acute changes in heart function, like a myocardial infarction (heart attack), arrhythmia (abnormal heart rate or rhythm) or congestive failure (poor pumping capacity)
Acute brain conditions including stroke, head trauma, seizure, psychosis
Pulmonary (lung) dysfunction including pulmonary embolus (blood clot), severe pneumonia, asthma or COPD
Multiple trauma , including large burns or trauma to any major organ
Significant changes in components of the blood; for example high blood sugar, low blood potassium, low platelets
Severe depression

When should you suspect any of these conditions?

The SYMPTOMS of an emergency include

Shortness of breath, or difficulty breathing, especially if not associated with exertion
Uncontrollable bleeding
A seizure, especially in a person with no previous diagnosis of seizures
Sudden or severe loss or difficulty with vision, hearing , speech, or other functions such as swallowing, thinking, walking, passing urine or stool
Fainting, passing out, loss of consciousness
Hallucinations, confusion, thoughts or threats of harm to self or others
In a pregnant woman- any of the above plus loss of fetal movement

You notice that I did not list PAIN and FEVER. Even though these are symptoms that concern patients the most, BY THEMSELVES they do not define an emergent condition. However, if they occur with any of the other symptoms, or are severe, then it is reasonable to call it an emergency.

The COVID-19 pandemic presented some unique challenges in emergency room use, I discuss those in this article.

Reliable keys to recognize a medical emergency

How to know when an ER visit is needed for a medical problem

Keep reading

November 20, 2017January 17, 2024

Chest pain must always be taken seriously, even if mild.

Although in persons under 40 years old it is less likely due to a heart attack, there are other life threatening conditions that can occur in this age group. Again, especially if it is associated with any of the other symptoms, it is emergent.

While on a mission trip to Panama, my husband had a near emergency when a board flew into his leg causing a deep gash; our medical team members took care of the injury right on the clinic site, and he recovered without permanent damage — While on a mission trip to Panama, my husband had a near emergency when a board flew into his leg causing a deep gash; a local surgeon was working with our medical team , and with their help he sutured the wound at the small rural church where we were holding clinic; his leg has healed well, just a scar to remind us of the adventure.

So assuming it is an emergency, what do you do now? You do not call your doctor’s office or answering service, your mother, your best friend, or post a question on social media (which I have seen done!)

IN AN EMERGENCY CALL 911!

Helicopters transport of emergency patients can make the difference between life and death.

If it’s not an emergency but is urgent, then the next best options are calling your doctor’s office or going to an urgent care clinic. Posting on social media is still a bad choice. Do you really want your “friends” giving you medical advice about something they know nothing about?

Now, some doctors may disagree with this- but I think it is acceptable to go to an emergency room for problems that are serious but not emergencies. Since an emergency center is staffed 24/7, it should be utilized; there’s no reason to waste our health care resources. And sometimes it may be your only choice- if your doctor’s office is closed or the schedule full, if you are away from home, or you don’t have a primary care physician.

Just be aware if you go to an emergency room instead of an office, clinic or urgent care facility you may

Wait longer to be treated
Pay more for that treatment

That brings me to my final point. There are

10 Things to Know Before Your Next Visit to the Emergency Department

that Dr. Kristin Prentiss Ott and I want you to know. She is an emergency physician who knows exactly what an emergency is . In my career I have worked in ERs so I can attest to the accuracy of what she writes. I hope you never need to go to an emergency room, but if you do, keep her advice in mind.

Helicopter landing at a hospital to deliver a critically ill person.

exploring the HEART of emergency medical care

Dr. Aletha

Please read this new updated post at this link

A Shining Spirit- Kayla Mueller

Today I am reposting a piece I wrote in February this year about Kayla Mueller, a humanitarian aid worker who was murdered while working in the Middle East. New information has come to light about her treatment while in captivity that makes her story even more tragic than it already was. And even while she was being subjected to such horrors, she was concerned about the teen-aged girls with her and “was like a mother figure to them.” If any of us are ever in such a horrible situation, we should be so blessed as to have someone else care about us . Again, my sympathies to her family.

(the post from 2/11/2015)

I cannot think of anything else worth saying today other than to express my sadness for and sympathy to the family of Kayla Mueller. On the evening news last night I heard Kayla’s aunt describe her as “noble beyond her years.” I had never heard of Kayla until a few days ago, but her story touches my heart. I have a son about the same age; and like her,his work and passions have taken him all over the world. I cannot imagine getting an email like the one her parents received confirming her death. At only 26 years old, Kayla had already traveled to India, Israel, Palestine and Syria on humanitarian endeavors and in Arizona worked at a women’s shelter and with AIDS patients, according to the news reports. And in a letter she wrote to her family from captivity, she expressed regret that she was causing them pain. I hope the memory of this beautiful young woman brings some comfort to their grieving hearts.