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From the ER

ER or not? The list I want every woman to know

My mother always put herself last. Women in my ER often wait longer than men to come in, and their heart attack symptoms are more likely to be dismissed, sometimes by themselves. Do not wait.

Call 911. Do not drive yourself.

  • Chest pain, pressure or squeezing, or these heart attack signs that are more common in women: shortness of breath, nausea or vomiting, cold sweat, unusual tiredness, or pain in the jaw, neck, back or arm.
  • Stroke signs, BE FAST: Balance loss, Eyes (sudden vision loss), Face drooping, Arm or leg weakness, Speech trouble, Time to call 911.
  • The worst headache of your life, or one that hits like a thunderclap
  • Trouble breathing, coughing up blood, or lips turning blue
  • Fainting, or a racing heartbeat with dizziness
  • Thoughts of suicide with a plan: call 911, or call or text 988

Pregnant, or had a baby in the last year? Call 911 for:

  • Heavy vaginal bleeding, or bleeding with severe belly or shoulder pain (early pregnancy can mean an ectopic pregnancy)
  • A severe headache that will not go away, vision changes, or sudden swelling of the face and hands (signs of preeclampsia, which can happen even after birth)
  • Chest pain or trouble breathing
  • A seizure, or fainting
  • Your baby moving less or not at all
  • Thoughts of harming yourself or your baby

Not an emergency but struggling? The National Maternal Mental Health Hotline is free, 24/7, in English and Spanish: call or text 1-833-852-6262.

Go to the ER today

  • Pregnant or had a baby in the last year, with a fever of 100.4°F or higher
  • Severe belly or pelvic pain, especially with fever or vomiting
  • A positive pregnancy test with pain or bleeding
  • A painful, swollen calf, especially if you are pregnant, just had a baby, or take birth control with estrogen
  • Urinary symptoms with fever, back pain or vomiting
  • A head injury on a blood thinner
  • High fever with confusion or a stiff neck

Urgent care or your doctor can usually handle

  • Sprains and simple cuts
  • Colds, sore throat, ear pain, mild flu symptoms
  • Bladder infection symptoms without fever or back pain
  • Rashes without fever or facial swelling
When in doubt, get seen. In my years in emergency medicine, I have never been upset that someone came in "for nothing".

Sources: CDC Hear Her urgent maternal warning signs; American Heart Association, Go Red for Women. Education only, not medical advice.

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Free tools from DR GPT™ Labs by Harvey Castro, MD, MBA. Education only, not medical advice. In an emergency, call 911.

Please note: this list is not complete and may not be up to date. I do my best to keep it accurate, but phone numbers, programs and medical guidelines change. Confirm with the organization or your own doctor before you rely on it.
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