In 2006, a 49-year-old woman complaining of chest pains, nausea and shortness of breath went to the Vista Medical Center Emergency Room in Lake County, Illinois, for evaluation, and two hours later she was found dead of a heart attack, sitting in the waiting room, still waiting for care [source: ABC News]. While that story is horrifying, it's also a rare example of what could happen in an ER. It's a good reminder why each of us needs to be our own advocate.
Patients in the ER are treated based on the severity of their condition when they arrived for treatment. But just because you didn't have a high fever, arm weakness or trouble breathing during your initial evaluation by the triage nurse doesn't mean you haven't developed new symptoms as you've waited for your turn to see the emergency physician. If you feel your symptoms have worsened as you've waited, it's time to speak up. Ask a nurse or another health care worker to take your vital signs again (that's your blood pressure, pulse, respiratory rate and temperature), or talk to the charge nurse about your potentially escalating symptoms.
Advocating for your own care doesn't mean it's OK to be rude, however. Most of us would admit it can be difficult to maintain a healthy level of patience when there's no discernible light at the end of the waiting room tunnel, but remember, it's not only the words you choose. As much as 70 percent of our communication happens nonverbally — it really does matter if you make eye contact or if you roll your eyes [source: Pola-Mondey]. Make an effort to remain calm and friendly, despite how long you have been waiting.
Author's Note: 10 Tips to Get You Through a Trip to the ER
The emergency department, where you're first when you're at your worst.
More Great Links
- ABC News. "Illinois Woman's ER Death Ruled Homicide." Sept. 19, 2006. (March 6, 2015) http://abcnews.go.com/GMA/OnCall/story?id=2458644
- Adetunji, A. Babatunde et al. "Detection and Management of Malingering in a Clinical Setting." Primary Psychiatry. Vol. 13, No. 1. Pages 61-69. Jan. 1, 2006. (March 6, 2015) http://primarypsychiatry.com/detection-and-management-of-malingering-in-a-clinical-setting/
- American College of Emergency Physicians. "ER 101: 10 Things Emergency Physicians Want You to Know." (March 6, 2015) http://www.emergencycareforyou.org/ER101/Default.aspx?id=1286
- Asthma and Allergy Foundation of America. "Allergy Facts and Figures." (March 6, 2015) http://www.aafa.org/display.cfm?id=9&sub=30
- Aungst, Timothy. "My Medications Is a Simple Tool for Patients to Record Their Medications, Immunizations and Allergies." iMedicalApps. Sept. 5, 2012. (March 6, 2015) http://www.imedicalapps.com/2012/09/mymedications-patients-track-immunizations-allergies-app/
- Belchetz, Brett. "5 Tips From a Physician to Help You Breeze Through the ER." Huffington Post. Aug. 19, 2014. (March 6, 2015) http://www.huffingtonpost.ca/dr-brett-belchetz/speed-up-er-visit_b_5500588.html
- Brady, M. Cait. "'I just saw Big Bird. He was 100 feet tall!' Malingering in the Emergency Room." Current Psychiatry. Vol. 12, No. 10. Pages 33-38, 40. October 2013. (March 6, 2015) http://www.currentpsychiatry.com/home/article/i-just-saw-big-bird-he-was-100-feet-tall-malingering-in-the-emergency-room/e853724c06895b3ab7a719646d650b78.html
- Centers for Disease Control and Prevention — National Center for Chronic Disease Prevention and Health Promotion, Division for Heart Disease and Stroke Prevention. "High Blood Pressure Fact Sheet." Feb. 19, 2015. (March 6, 2015) http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_bloodpressure.htm
- Centers for Disease Control and Prevention — National Center for Health Statistics. "FastStats: Emergency Department Visits." Jan. 22, 2015. (March 6, 2015) http://www.cdc.gov/nchs/fastats/emergency-department.htm
- Centers for Disease Control and Prevention — National Center for Health Statistics. "Leading Causes of Death." Feb. 6, 2015 (March 6, 2015) http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
- Chamberlain, Catherine J. et al. "Disclosure of 'Nonharmful' Medical Errors and Other Events." Archives of Surgery. Vol. 147, No. 3. Pages 282-286. 2012. (March 6, 2015) http://archsurg.jamanetwork.com/article.aspx?articleid=1107400
- Cooper, Jeffrey S. et al. "Sedative-Hypnotic Toxicity." Medscape. April 4, 2013. (March 6, 2015) http://emedicine.medscape.com/article/818430-overview
- Cunningham, Peter. "Before the U.S. Senate. Health, Education, Labor and Pensions Committee, Subcommittee on Primary Health and Aging — Nonurgent Use of Hospital Emergency Departments." Center for Studying Health System Change (HSC). May 11, 2011. (March 6, 2015) http://hschange.org/CONTENT/1204/1204.pdf
- Groeger, Lena. "How Long Will You Wait at the Emergency Room?" ProPublica. Dec. 19, 2013. (March 6, 2015) http://www.propublica.org/article/how-long-will-you-wait-at-the-emergency-room
- Hadjiliadis, Denis. "Acute vs. Chronic Conditions." MedlinePlus. May 30, 2013. (March 6, 2015) http://www.nlm.nih.gov/medlineplus/ency/imagepages/18126.htm
- Hitti, Miranda. "Put 'ICE' on Your Cell Phone." WebMD. Oct. 16, 2006. (March 6, 2015) http://www.webmd.com/news/20061016/put-ice-on-your-cell-phone
- Insure.com. "Emergency Room Care: Know Your Rights." Dec. 10, 2010. (March 6, 2015) http://www.insure.com/health-insurance/emergency-rights.html
- Keim, Samuel M. "Drug Allergy." eMedicineHealth. July 30, 2014. (March 6, 2015) http://www.emedicinehealth.com/drug_allergy/article_em.htm
- Marte, Jonnelle. "10 Things the Emergency Room Won't Tell You." MarketWatch. Jan. 24, 2011. (March 6, 2015) http://www.marketwatch.com/story/10-things-the-emergency-room-wont-tell-you-1295790468271
- Mayo Clinic. "Drug Allergy." Oct. 10, 2014. (March 6, 2015) http://www.mayoclinic.org/diseases-conditions/drug-allergy/basics/definition/con-20033346
- Mayo Clinic. "Nearly 7 in 10 Americans Take Prescription Drugs, Mayo Clinic, Olmsted Medical Center Find." June 19, 2013. (March 6, 2015) http://newsnetwork.mayoclinic.org/discussion/nearly-7-in-10-americans-take-prescription-drugs-mayo-clinic-olmsted-medical-center-find/
- McHugh, Megan. "Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals." Agency for Healthcare Research and Quality. AHRQ Publication No. 11. October 2011. (March 6, 2015) http://www.ahrq.gov/research/findings/final-reports/ptflow/ptflowguide.pdf
- Moffa, Donald A. Jr. "Preventing Toxic Drug Interactions and Exposures." Cleveland Clinic. 2014. (March 6, 2015) http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/preventive-medicine/preventing-toxic-drug-interactions-and-exposures/
- O'Brien, Shannon. "AMA Introduces 'My Medications' App for Patients." American Medical Association. Nov. 22, 2011. (March 6, 2015) http://www.ama-assn.org/ama/pub/news/news/2011-11-22-ama-introduces-my-medications-app.page
- Pola-Money, Gina. "Self-Advocacy." University of Utah, Department of Pediatrics - Medical Home Portal Project. March 2014. (March 6, 2015) http://www.medicalhomeportal.org/living-with-child/navigating-transitions-with-your-child/transition-to-adulthood/self-advocacy
- Press Ganey Associates. "Emergency Department Pulse Report 2010 Patient Perspectives on American Health Care." 2010. (March 6, 2015) http://www.pressganey.com/Documents_secure/Pulse%20Reports/2010_ED_Pulse_Report.pdf
- Rice, Sabriya. "Don't Die Waiting in the ER." CNN. Jan. 13, 2011. (March 6, 2015) http://www.cnn.com/2011/HEALTH/01/13/emergency.room.ep/
- Savard, Marie. "5 Tips for an Emergency Room Visit." ABC News. Sept. 22, 2008. (March 6, 2015) http://abcnews.go.com/Health/story?id=5843080
- Smith, Karen L. "Insider's Guide to the Emergency Room." Real Simple. (March 6, 2015) http://www.realsimple.com/health/first-aid-health-basics/hospitals-insurance/in-case-emergency
- St. Mary's Medical Center. "Emergency Care: What to Expect in the ER." (March 6, 2015) http://www.stmarysmc.com/en-US/ourServices/medicalServices/Pages/Emergency-Care.aspx
- U.S. Department of Health & Human Services — Agency for Healthcare Research and Quality. "Your Guide to Choosing Quality Health Care." AHRQ Publication No. 99-0012. July 2001.(March 6, 2015) http://archive.ahrq.gov/consumer/qnt/qntdr.htm
- Van Leeuwen, Danny. "Bring a Companion to Your Next Doctor's Appointment." Center for Advancing Health (CFAH) - Prepared Patient Blog. June 26, 2014. (March 6, 2015) http://www.cfah.org/blog/2014/bring-a-companion-to-your-next-doctors-appointment
- Worth, Tammy. "Helping Patients Keep an Up-to-date Medication List." American Pharmacists Association. April 1, 2014. (March 6, 2015) http://www.pharmacist.com/helping-patients-keep-date-medication-list
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