Let's Put the "E" Back in "ER" Folks!

@ParaTed2k (22940)
Sheboygan, Wisconsin
June 7, 2007 2:23pm CST
That's right folks, the "E" in "ER" stands for "Emergency", that means something really, really, really bad. What isn't an emergency? Well, a few hints would be... ~if you sit in the ER waiting room for more than an hour... ~If you can get an appointment with a Family Doctor before you'll lose consciousness. ~If the bleeding is kind of oozing out... ~If it really, really, really hurts, but you can move it... ~If it's hard to breath, but you can still talk (ok, if you have some chronic respiratory problem, ignore this one)... If you have to ask what a "chronic respiratory problem" is, you don't have one... ~If one of those really, really, really big band aids will cover the cut... ~If you can cover the burn with a couple of fingers... ~Even if the toenail you just broke Really Really REALLY hurts, and even if it's bleeding... ~If you took medicine for the fever, but it came back in 4 hours. (If the fever is over 102F (100 for under 5 years old), ignore this one and get to the ER). ~If the headache, no matter how bad, was relieved with 2 aspirin or tylonol. (unless, of course, it is secondary to a head injury, fever or sun exposure." ~If the sunburn really, really, really hurts, and really peels like the dickens... (unless you have other signs and symptoms of heat injuries). ~If the bruise looks really, really, really hideous, and hurts like there is no tomorrow (unless it is secondary to an injury to a joint). ~If you just had nowhere better to spend 8-10 hours (longer in bigger cities). Emergency rooms aren't free clinics, urgent care clinics, or rec rooms. The TV you get to watch and juice you get to drink ISN'T worth the bill you'll get. Oh, and BTW, if you call 9/11 for an ambulance to bring you in, you AREN'T automatically brought back to a curtain or room. I've left plenty of patients in the comfort of the waiting room. If you feel like you really, really, really need the ER, by all means, don't let me talk you out of it, but remember, the amount of time you spend in the waiting room is inversely proportional to the need. In other words, the longer you spend sitting there, the less you actually needed to be there. Thank you for reading and Good Health Be Unto You! ~~~~~~ "Emergency Medical Services: We're the Reason Your Mother Taught You to Wear Clean Underwear" ~ ParaTed2k's (Not So) Famous Sayings.
1 person likes this
8 responses
@adjemt (16)
• United States
11 Jun 07
Amen and hallelujah I'm an ER Tech and EMT (yes I'm the one that was sitting next to Debs_place). I think you pretty much hit it, and, I'd like to add... -If you don't have a PMD (primary doctor)...GET ONE the ER is not a clinic/substitute for your own doctor. -If you can walk in on it think Rest Ice Compression Elevation (RICE) and call you PMD in the morning -The red raised area around your beesting is localized reaction. If you are NOT having difficulty breathing, chest pain, a swollen tongue; take some benadryl (according to the instructions on the label), put some ice on it and call you PMD in the morning. -The red area on your baby's bum is a diaper rash. Clean his/her butt, put some A&D ointment on it, change him/her more often and call the pediatric PMD in the morning. -The reason your 1/2 cm laceration is still bleeding is because you keep taking the &&^%%# dressing off. Clean it thoroughly, put a sterile dressing on (a gauze pad), and keep pressure on it. When it stops bleeding (as my EMT instructor said..."all bleeding stops eventually"), put some triple antibiotic ointment on it and a bandaid. If it becomes red and/or hot, or "oozy" call you PMD (catching the pattern here?). -Most PMD office answering machines say something like "...our office is closed...if it's an emergency, or you can't wait go to your nearest ER or call 911...or call back during regular business hours...". I really hate to break it to you, but, your sore throat the night before your big presentation isn't an emergency. You need to see your PMD. If you can't because of the "big presentation", you've got a prioritization problem. I don't want to seem ungrateful so allow me to thank the ones that do come in, for you are keeping me employed and the hospital solvent. I'd also would like to apologize...I'm usually quite compassionate, kind...just had a bad weekend and Ted's post hit home. ADJEMT
2 people like this
@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
Great additions! I also love the ones who complain because so many people get seen before they do. We all know that Triage is there to make sure the laws of "first come, first served" are held sacred! ;~D
• United States
11 Jun 07
What I would really like to know is why so many of the urgent care places around here will send you to the ER for a migraine. Trust me, an ER is the VERY last place I want to go when I have a migraine. I don't want to hear even one kid screaming in pain because something is badly wrong with them. Even though they usually put me in a "quiet" room within about 20 minutes, even just waiting to see the Triage nurse is more ER than I want to deal with. Even the combined ER/Urgent Care place puts you in the ER section (but at least my health plan used to charge Urgent Care rates to go there no matter what.) Just 'cause the most (and sometimes only) effective treatment for my migraines that doesn't cause me to stop breathing (and hence require an ER visit) has to be administered directly into the blood stream does not mean that I need anything more than an IV tech and a prescription! Yeah, sure I might have a bad reaction to the meds, but I highly doubt it, since Bendryl is what stops it and I already took some as part of my home treatment plan.
@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
Head pain is so close to the line between true emergency and "normal" for the person. They send you to the ER in case it is something more than "just a migrain" (if 'just" and "migrane" can be used together).
@Debs_place (10520)
• United States
11 Jun 07
I have an er tech/emt sitting here, who now loves you. He constantly comes home complaining that people come in with really big boo-boos. And he loves the people who are just stupid...the guy who was wearing flip-flops while playing with an axe...the stories are endless. Well let me go change my underwear!
1 person likes this
@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
To those who come in for things like that, I say... THANK YOU FOR YOUR SUPPORT. ;~D
@cher913 (25782)
• Canada
7 Jun 07
you are right...here in ontario our health care is free (before you pack and move up here, we pay for it with our taxes) so when you go to the er all you have to show is your health card (issued by our local govt aka the powers that be) If you go to the hospital, you can count on waiting a good 4-6 hours depending on whats happening (the only times i have gone was when i broke out in hives all over, had a severe asthma attack and was bleeding profusely from a head wound...)and those times i got seen quite quickly for obvious reasons... here in ontario there is really no excuse to go to the hospital unless if it is an emergency...we have many walk in clinics (a great place to go if you dont have a regular physician) or an urgent care centre that assures you that you will be done in 2 hours this way you can leave the er for those that really need it!
1 person likes this
@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
Yup, I've heard about the "free" medical service up there in Canada. With all you pay in taxes, it must be the most expensive "freeby" around. ;~D I hear about Candadian medical service a lot living here in Wisconsin. I hear it from people who come to Wisconsin willing to pay for our services.
• United States
11 Jun 07
I've never had to be carried to the ER by an ambulance (knock on wood) but I think my reasons for going were legitimate. No matter how hard I tried I couldn't find a band-aid big enough to cover the big gaping gash in my knee all the way down to the bone. On a side note my mother used to work in the ER and I always prayed that if I was in an accident I would be conscious enough to tell the paramedics NOT to take me to her hospital. I don't think she ever would have forgiven me for the heart attack I'd have given her. :D
1 person likes this
@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
Yeah, having a close friend or family brought in is an experience few can handle real well. Having a son or daughter brought in would be almost unbearable.
@toe_ster (770)
• United States
8 Jun 07
I like this one. Ilaughed a little and completely agree. I have had what I think are total emergencies with my children only to get to the ER and have to wait a couple of hours. Like the time my 6 year old stuck a thermometer in my 4 year olds ear and blood came pooring out. At 8:45 at night with the closest urgent care already closed and the hospital a good 25 minutes away, I paniced a little. I rushed all the way over there to sit and wait it out only to be told 'yes there is a hole, and all we can do is wait for it to heal. Don't put anything in it.' I waited over 2 1/2 hours for that. Nice. I learned my lesson on that one. Good reminder discussion
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@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
Actually, yours was a true emergency. Just because it turned out your 6 year old was ok... you would't have known that for sure without it being checked out. Sometimes we forget that good news is worth the time and money too.
@BROWNEYEZ (447)
• United States
7 Jun 07
i think you covered all the reason one goes to the emergency room. so were is the compalint. what rediculous things do you think they go to the emergency room for that not needed. beside people go becouse they dont have insurance
1 person likes this
@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
If they are going because they don't have insurance, guess what... they are going to get the bill anyway. The law only says that an ER that accepts Medicaid/Medicare has to accept all patients... nowhere does it say it can't bill them. That's why I said, "let's put the 'E' back in 'ER'". Emergecy doesn't mean, "it hurts like the dickens!".
@4cuteboys (4099)
• United States
11 Jun 07
LOL Funny! And true, but I will tell you, many times here, the base sends you to the ER even if it isn't necessary. For instance if you call and they can't get you in for a same day/acute appointment they tell you to go to the ER. Stinks!!
@ParaTed2k (22940)
• Sheboygan, Wisconsin
11 Jun 07
Oh, I could write a whole new list about Military Health Care!!! This is off topic, but anyone who is for bringing socialized medicine to the US needs to take a good look at the two examples of it already in the US... Military and VA medicine! Ugghh!!