{"id":19327,"date":"2021-11-08T09:58:16","date_gmt":"2021-11-08T14:58:16","guid":{"rendered":"https:\/\/thepapergown.zocdoc.com\/?p=19327"},"modified":"2023-03-06T11:49:08","modified_gmt":"2023-03-06T16:49:08","slug":"4-big-medical-problems-urgent-care-cant-treat","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/","title":{"rendered":"4 Big Medical Problems Urgent Care Can\u2019t Treat"},"content":{"rendered":"<p>When you\u2019re experiencing a medical emergency, the best place to go is the emergency department, rather than an urgent care center. But how can you tell when your illness or injury is an emergency? Before you seek medical care, ask yourself some key questions.<\/p>\n<p>\u201cWhat\u2019s my general health? Am I young? Am I old? Do I have multiple medical problems?\u201d says Maryland-based emergency medicine specialist Dr. James M. Williams, spokesperson for the American College of Emergency Physicians. \u201cWhat do I think the capabilities of the facility are that I\u2019m going to? For example, urgent care is decidedly less broad in the depth of the services that it offers than the emergency department.\u201d<\/p>\n<p>Some people misjudge their symptoms, visiting an urgent care center when the emergency department is the appropriate venue. About 3 percent of people who go to urgent care centers are referred to emergency departments, where they receive treatment for serious conditions; researchers at Penn State Hershey Medical Center found that <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0735675719300294\">21.8 percent<\/a> of people referred to the emergency department by urgent care centers require a hospital stay.<\/p>\n<p>\u201cIf you think you\u2019re going to be admitted to the hospital,\u201d Williams says, \u201cclearly urgent care is not the place to start your journey.\u201d<\/p>\n<p>These four conditions should always be assessed in an emergency department.<\/p>\n<hr class=\"squiggle\" \/>\n<h3>Chest pain<\/h3>\n<p>Chest pain might be heartburn or anxiety, but it may also be a heart attack. Seeking quick care at an emergency department could be life-saving. Urgent care centers aren\u2019t designed to diagnose or treat heart attacks, but some people with chest pain walk into these nonemergency facilities.<\/p>\n<p>\u201cThe assumption by the general public is, \u2018Oh, well, they\u2019ll do an EKG and make sure I\u2019m okay,\u2019 [but] that\u2019s a fallacy, because an electrocardiogram tells us the rhythm and the rate of the heart; it tells us nothing about the size of your coronary arteries,\u201d says Orlando-based urgent care physician Dr. Franz Ritucci, physician liaison for the American Academy of Urgent Care Medicine.<\/p>\n<p>Emergency department physicians can perform diagnostic blood work that checks for levels of troponin, a group of proteins that become elevated when the heart has been damaged; urgent care facilities can\u2019t do this. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34061019\/\">Troponin testing<\/a> has been shown to quickly diagnose or rule out heart attacks among patients in the emergency department. Emergency physicians can also administer ultrasound stress tests (treadmill tests) to assess heart function.<\/p>\n<p>\u201cIn the urgent care facility, we don\u2019t have that type of capability, so more likely than not, you\u2019re going to be transferred over to the emergency department,\u201d Ritucci says. \u201cYou\u2019ve not only gone to a facility that wasn\u2019t the appropriate place, you\u2019ve incurred another bill.\u201d<\/p>\n<hr \/>\n<h3>Issues with breathing<\/h3>\n<p>People who are short of breath may have asthma, chronic obstructive pulmonary disease, upper respiratory infections or other conditions. Emergency physicians are best qualified to diagnose and treat conditions that make it difficult for someone to catch their breath. The cause may turn out to be nothing serious, but it\u2019s better for doctors at the emergency department to investigate, in case it requires someone to be intubated.<\/p>\n<p>\u201cIt may be anxiety, or someone trying to get back in shape who became really winded,\u201d Williams says. \u201cThat might be different than somebody who was simply walking and all of a sudden had chest pain and shortness of breath and was sweating.\u201d<\/p>\n<hr \/>\n<h3>Traumatic injuries<\/h3>\n<p>Urgent care facilities have X-ray machines and can treat simple fractures, but more complex injuries need to be handled at emergency departments.<\/p>\n<p>\u201cIt\u2019s called an open fracture when a bone is protruding through the skin, and you need to be going to the emergency room,\u201d Ritucci says. \u201cIf you sustained a significant crush injury \u2014 a barbell went on top of your foot and you cannot bear weight whatsoever on that, or for hand crush injuries \u2014 you may be better off going to the emergency room.\u201d<\/p>\n<p>American and Israeli researchers have shown that people with open hand fractures are <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28220246\/\">often sufficiently treated<\/a> in the emergency department, rather than requiring surgery. (The appropriate care is not available at urgent care centers.) Repositioning bones that have broken through the skin, known as an open reduction, can be quite painful, so it\u2019s best to be in a hospital setting for the procedure.<\/p>\n<p>\u201cIt\u2019s an excruciating condition to have, and sometimes you have to be given morphine,\u201d Ritucci says. \u201cYou\u2019re probably better served in the emergency department, where you can be given IV sedative medication, pain medication.\u201d<\/p>\n<hr \/>\n<h3>Passing out<\/h3>\n<p>Fainting should be assessed by an emergency physician, in case it happened because of a medical emergency. Passing out could indicate a sudden drop in blood pressure, low blood sugar levels, dehydration, heatstroke, a seizure or stroke.<\/p>\n<p>\u201cSomeone who passes out, or may have found that \u2018Hey, I\u2019ve got a little bit of a slurred speech; I lost some power in a limb, but it came right back,\u2019\u201d Ritucci says, \u201cthat could be what\u2019s called a TIA, a transient ischemic attack, and that is something that has to be further evaluated in the emergency department, not at the urgent care center.\u201d<\/p>\n<p>Up to 86 percent of emergency room patients who have fainted <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34064050\/\">are hospitalized<\/a> for treatment or evaluation, according to Canadian researchers, so visiting an urgent care center may require an emergency department referral or a hospital admission.<\/p>\n<p>\u201cThey have a much more significant depth of facilities and testing and interventions that they can perform,\u201d Williams says. \u201cIt\u2019s not just what I can diagnose, but also, I have all the specialists, typically, in the hospital to take care of that.\u201d<\/p>\n<hr \/>\n<h1 style=\"text-align: center;\">Ready to book a doctor&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/\">Zocdoc.<\/a><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>Patients who go to urgent care for these issues are often referred to the ER. <\/p>\n","protected":false},"author":50,"featured_media":19187,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[228],"tags":[22,25,35,38,81,106,202],"class_list":["post-19327","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice","tag-diagnosis","tag-emergency-care","tag-injuries","tag-lists","tag-preventive-care","tag-treatment","tag-urgent-care","reviewer-dr-nassim-assefi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>4 Big Medical Problems Urgent Care Can\u2019t Treat - Advice<\/title>\n<meta name=\"description\" content=\"Patients who go to urgent care for these issues are often referred to the ER.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"4 Big Medical Problems Urgent Care Can\u2019t Treat - Advice\" \/>\n<meta property=\"og:description\" content=\"Patients who go to urgent care for these issues are often referred to the ER.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/\" \/>\n<meta property=\"og:site_name\" content=\"The Paper Gown\" \/>\n<meta property=\"article:published_time\" content=\"2021-11-08T14:58:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-06T16:49:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/zocdoc.com\/blog\/wp-content\/uploads\/2021\/08\/HeroGeneralCareBLue-01.png\" \/>\n\t<meta property=\"og:image:width\" content=\"968\" \/>\n\t<meta property=\"og:image:height\" content=\"452\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Lisa Fields\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lisa Fields\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/\"},\"author\":{\"name\":\"Lisa Fields\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/8d92554b454d3610728c92b93e4a23c7\"},\"headline\":\"4 Big Medical Problems Urgent Care Can\u2019t Treat\",\"datePublished\":\"2021-11-08T14:58:16+00:00\",\"dateModified\":\"2023-03-06T16:49:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/\"},\"wordCount\":953,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2021\/08\/HeroGeneralCareBLue-01.png\",\"keywords\":[\"Diagnosis\",\"Emergency Care\",\"Injuries\",\"Lists\",\"Preventive Care\",\"Treatment\",\"Urgent Care\"],\"articleSection\":[\"Advice\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/\",\"url\":\"https:\/\/www.zocdoc.com\/blog\/advice\/4-big-medical-problems-urgent-care-cant-treat\/\",\"name\":\"4 Big Medical Problems Urgent Care Can\u2019t Treat - 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