Summer Trips, Flips & Slips – When & Where to Seek Care June 9, 2016 As the sun comes out and temperatures rise, injuries become more frequent. But when do you go to the emergency department, walk-in clinic, make an appointment with your primary care provider or treat the symptoms at home? Burns For sunburns or burns with little or no blistering, treat symptoms at home with ibuprofen and cool soaks, and the burn will heal on its own. Only go to your primary care provider or walk-in clinic if you need stronger pain control after treating the symptoms at home. Burns with blisters bigger that one centimeter should be seen in the walk-in clinic. Go to the emergency department for all third-degree burns, which often appear white or charred instead of pink and may not hurt much due to nerve and blood vessel damage. Water Safety Helmets are now standard for riding bicycles and ATVs, but there is a long way to go with water safety. Always protect yourself when in open waters by wearing a life jacket. Enclose pools on all sides as accidents happen in seconds. Call 911 if a submerged victim is unresponsive. If the victim appears fine, they should still visit walk-in care to be checked out. Sprain & Strains For minor strains or sprains, you can find relief for pain and swelling by following RICE — rest, ice, compression and elevation. Rest to protect the injured area. Ice the area (do not apply ice directly to skin). Compress the area with a bandage wrap, not too tight though. Finally, elevate the injured area while applying ice. Over-the-counter pain relievers such as ibuprofen (Advil or Motrin) or naproxen (Aleve or Naprosyn) can help reduce pain and swelling. If you don’t see improvement within one to three days, seek care from your primary care provider or go to a walk-in clinic for evaluation and possible X-ray. Spine, Back & Sports Injuries Walk-in care providers are able to treat symptoms of overexertion and minor falls (less than six feet), but anyone experiencing a major fall should go to the emergency department. If you’re experiencing tingling, numbness or weakness, go to the emergency department as you may need advanced imaging such as a CT or MRI. Obvious injuries, such as an arm bending the wrong way, require an emergency department visit and will likely need more extensive pain relief. Lacerations Significant cuts through the skin should be treated in walk-in care. Occasionally, you may need to see a specialist after a walk-in care visit if the laceration is highly complex or involves a tendon, blood vessel or nerve. Head Injuries Head injuries, including concussions, need to be examined carefully by a professional. If you lose consciousness, have memory loss, experience unusual sleepiness, nausea or vomiting you need to be evaluated by a medical provider. If you seem fine after the injury, consider a walk-in care visit, but if any of these symptoms are persistent, go to the emergency department. Children under the age of 2 with any head injury, should ALWAYS go to the emergency department, as well as anyone over 75 or are on blood-thinning medication. Whether you’re going to walk-in care, the emergency department or your primary care physician’s office, it’s good to keep a list of your allergies and all of your medications with you including dosages, and over-the-counter medications and vitamins. Many allergies, medications, and even vitamins, can interact with the treatment options your physician may use. Brent Wesenberg, MD is a board-certified emergency physician and is the medical director for Samaritan Walk-In Clinics in Benton and Linn counties. Visit a walk-in or same-day care clinic near you.
