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Emergency Care

Your Questions About Recognizing an Emergency, Answered

Recognizing an Emergency: straight answers to the questions people actually ask, with the figures behind them.

Dr Amara Nwosu, PhD, RD Editor-in-chief and registered dietitian 5 min read 4 views
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Hospital — Emergency Care
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The symptoms that mean calling 911 rather than waiting.

Key takeaways

  • Always 911: chest pain, stroke signs, severe breathlessness, heavy bleeding, unconsciousness
  • F.A.S.T.: Face drooping, Arm weakness, Speech difficulty, Time to call 911
  • Most useful single change: Call 911 if you think it might be one of these; that is the right threshold.
  • Commonest mistake: Driving yourself or someone else with a suspected heart attack or stroke.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

What is Recognizing an Emergency?

The symptoms that mean calling 911 rather than waiting.

Why does it matter?

In the conditions where minutes matter, delay is the main factor in outcome, and most delay is spent deciding whether to call.

F.A.S.T. for Recognizing an Emergency?

Face drooping, Arm weakness, Speech difficulty, Time to call 911.

Rash that does not fade when pressed, with fever for Recognizing an Emergency?

Call 911; do not wait to see if it changes.

Text to 911 for Recognizing an Emergency?

Available in many areas if you cannot speak safely.

What is the single most useful thing to do?

Call 911 if you think it might be one of these; that is the right threshold.

What is the most common mistake?

Driving yourself or someone else with a suspected heart attack or stroke.

When should I see a doctor?

Call 911 for chest pain or pressure lasting more than a few minutes, sudden weakness or numbness on one side, facial drooping, difficulty speaking, severe breathlessness, heavy bleeding, a seizure that does not stop, unconsciousness, a rash that does not fade when pressed, or signs of a severe allergic reaction. For problems that are urgent but not life-threatening, call your doctor's office or go to urgent care.

More questions, answered

Will I be charged if I call 911 and it is not an emergency?

Ambulance charges depend on where you live and your insurance, and some areas charge for transport. However, if you genuinely believe it may be an emergency, calling is the right decision. Cost should never stop you calling when life may be at risk.

Should I drive someone to the hospital instead of waiting?

For suspected heart attack, stroke or other serious problems, no. Paramedics start treatment on the way and alert the hospital in advance. Driving also puts you at risk if you are distracted or upset.

What if I am not sure it is an emergency?

If you think it might be, call 911. Dispatchers are trained to assess the situation and can advise if a different service is more appropriate. It is far safer to call and be reassured than to wait.

Can I call 911 from a cell phone with no service?

In the US, cell phones can usually connect to 911 through any available carrier network, even without your own carrier's signal. Some newer phones can also reach emergency services by satellite in areas without coverage.

What information should I give the dispatcher?

Give your exact location first, then what happened, how many people are hurt and whether they are awake and breathing. Answer questions calmly and stay on the line. The dispatcher may start help on the way while still asking questions.

Is urgent care the same as an ER?

No. Urgent care handles minor injuries and illnesses that cannot wait for a regular appointment. It is not equipped for heart attacks, strokes, severe bleeding or breathing emergencies, which need the ER.

Where to go next

When to speak to a doctor

Call 911 for chest pain or pressure lasting more than a few minutes, sudden weakness or numbness on one side, facial drooping, difficulty speaking, severe breathlessness, heavy bleeding, a seizure that does not stop, unconsciousness, a rash that does not fade when pressed, or signs of a severe allergic reaction. For problems that are urgent but not life-threatening, call your doctor's office or go to urgent care.

Where this comes from

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

What next?

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Frequently asked questions

The symptoms that mean calling 911 rather than waiting.
In the conditions where minutes matter, delay is the main factor in outcome, and most delay is spent deciding whether to call.
Face drooping, Arm weakness, Speech difficulty, Time to call 911.
Call 911; do not wait to see if it changes.
Available in many areas if you cannot speak safely.
Call 911 if you think it might be one of these; that is the right threshold.
Driving yourself or someone else with a suspected heart attack or stroke.
Call 911 for chest pain or pressure lasting more than a few minutes, sudden weakness or numbness on one side, facial drooping, difficulty speaking, severe breathlessness, heavy bleeding, a seizure that does not stop, unconsciousness, a rash that does not fade when pressed, or signs of a severe allergic reaction. For problems that are urgent but not life-threatening, call your doctor's office or go to urgent care.
Ambulance charges depend on where you live and your insurance, and some areas charge for transport. However, if you genuinely believe it may be an emergency, calling is the right decision. Cost should never stop you calling when life may be at risk.
For suspected heart attack, stroke or other serious problems, no. Paramedics start treatment on the way and alert the hospital in advance. Driving also puts you at risk if you are distracted or upset.
If you think it might be, call 911. Dispatchers are trained to assess the situation and can advise if a different service is more appropriate. It is far safer to call and be reassured than to wait.
In the US, cell phones can usually connect to 911 through any available carrier network, even without your own carrier's signal. Some newer phones can also reach emergency services by satellite in areas without coverage.
Give your exact location first, then what happened, how many people are hurt and whether they are awake and breathing. Answer questions calmly and stay on the line. The dispatcher may start help on the way while still asking questions.
No. Urgent care handles minor injuries and illnesses that cannot wait for a regular appointment. It is not equipped for heart attacks, strokes, severe bleeding or breathing emergencies, which need the ER.

Dr Amara Nwosu

Editor-in-chief and a registered dietitian of fourteen years. Spent six of them in NHS outpatient clinics, which is where she learned that the advice people actually follow beats the advice that is technically optimal.

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