Should You Call 911 or Head to the ER Yourself?

When a medical issue comes up, one of the first questions that may cross your mind is: Should I call an ambulance or get to the ER another way? Knowing when to call for emergency help or when it may be okay to drive can bring clarity in stressful moments and help you get the right care safely.

When Calling 911 May Be the Safer Option

Some health issues are more serious than they appear. In these situations, have trained emergency responders come to you. Call 911 if someone has:

  • Chest pain, trouble breathing or severe allergic reactions
  • Sudden changes in alertness, confusion or slurred speech
  • Heavy bleeding or serious injuries from a fall or accident
  • Has a seizure, needs CPR or requires rescue breathing
  • Trouble standing, walking or staying conscious
  • Swallowed something poisonous or has bluish skin tone

Calling for help is also important if the person is too weak to move or if driving could make an injury worse. Emergency medical technicians (EMTs) are trained to start taking care of the patient on the way to the hospital.

When Driving Might Be Okay

Not every medical issue requires an ambulance. You might consider driving or having someone drive you if:

  • Symptoms are mild or not getting worse
  • You can sit up, move and respond normally
  • You don’t feel faint, confused or short of breath
  • There’s someone available to help you get there safely

Common examples might include minor cuts, sprains or mild illness. Using a ride-share service or asking a family member or friend for help can also be a more affordable option for less urgent situations.

However, if you’re not sure what’s safe, it’s okay to call 911. The dispatcher may help assess what’s needed and talk to you through the next steps.

A Few Things To Keep in Mind

  • Location matters: In some rural areas, ambulance response times may take longer. In cities, traffic can slow things down too, but there may be more ambulance units nearby.
  • Cost concerns: Insurance may cover some or all the cost of ambulance transport, but this depends on the situation and the type of emergency medical services (EMS) provider. If it’s not a medical emergency and you have another way to get to the ER, you may save money by not using an ambulance.
  • Hospital readiness: Paramedics can call ahead, which helps some hospitals prepare for your arrival. This may help speed up care in some situations.

What If You Decide To Drive?

Taking someone to the ER yourself (also called casualty evacuation) is common and understandable, especially when ambulances aren’t available right away. But it’s important to know that unlike trained EMS crews, personal drivers can’t offer medical help during the ride. That means treatment starts only once the person arrives at the hospital.

In some emergencies, that gap matters. EMS teams are equipped to assess the patient during transport, give medication if needed and head to the hospital that’s best suited for the person’s condition (like a stroke or heart center) depending on the situation.

Reach Out if Unsure

When in doubt, call 911. Dispatchers are trained to ask key questions and guide you through what to do next whether that means waiting for paramedics or safely making your way to the ER.

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