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From the ER

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

Call 911. Do not drive yourself.

  • Chest pressure, squeezing or pain, especially with sweating, shortness of breath, nausea, or pain into the arm, jaw or back. Lasting more than a few minutes or coming and going.
  • 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 or pounding heartbeat with dizziness
  • Thoughts of suicide with a plan: call 911, or call or text 988

Go to the ER today

  • Severe belly pain, especially with fever or vomiting
  • Sudden severe pain or swelling in the testicle (time matters)
  • A head injury on a blood thinner
  • Black or bloody stool, or vomiting blood
  • A painful, swollen calf, especially after a long trip
  • 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
  • Urinary 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".
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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.

Written and medically reviewed by , board-certified emergency physician. Last reviewed October 25, 2026.

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Harvey Castro, MD, MBA: board-certified emergency physician, five TEDx talks, keynotes in English and Spanish.
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