These three are built for different jobs. Knowing which is which usually makes the choice
easier, and can save you a long wait or a large bill.
If it could be life-threatening, do not stop to decide.
Chest pressure. Trouble breathing. Fainting. Bleeding that will not stop. Weakness on one
side, or trouble speaking. Go to the emergency department, or call 911.
Your own doctor can do most of what follows, and knows what came before it. Pick what you
need and see everywhere that does it.
Wounds, casts and dressings
Stitches or staples out
Emergency
YesIt will do this, but it is the most expensive way to have it done.
Urgent care
UsuallyCall ahead. Not every clinic takes out stitches it did not put in.
Your own doctor
UsuallyTake your discharge papers, so they know what was used and when.
Wound or dressing check
Emergency
Yes
Urgent care
UsuallyTake your discharge papers and any dressing you were given.
Your own doctor
UsuallySay when the wound happened and when it was last dressed.
Cast or splint check
Emergency
Yes
Urgent care
Call firstSome clinics do not adjust a cast someone else applied.
Your own doctor
Call firstMany will send you to the bone specialist named on your papers instead.
Crutches, boot or sling
Emergency
Yes
Urgent care
Usually
Your own doctor
Call firstNot every practice keeps them in stock.
Medicines and results
Prescription refill
Emergency
SometimesIt may give you a few days’ supply if you have run out and cannot reach your doctor. It does not manage a long-term prescription.
Urgent care
SometimesSome clinics will bridge a few days. Few will repeat a long-term medicine. Call and ask.
Your own doctor
YesThe only place that can carry a medicine forward over time, and the one that should hold the prescription.
Results explained
Emergency
NoIts medical records office can give you a copy, but the department is not set up to go through them with you.
Urgent care
NoIt will not hold the results of tests run somewhere else.
Your own doctor
YesTake your discharge papers. They list what was done and what it showed. Reviewing them, including what a test did not show, is the follow-up visit.
Repeat blood test
Emergency
Yes
Urgent care
Call firstAsk whether they run the specific test your papers name.
Your own doctor
UsuallyTake your discharge papers. They name the test and when to repeat it.
Checks, shots and paperwork
Specialist referral
Emergency
No
Urgent care
Call first
Your own doctor
YesTake the name of any specialist your discharge papers already suggested.
Work or school note
Emergency
YesFor the visit itself: ask before you leave, if you can.
Urgent care
Usually
Your own doctor
UsuallyBest for a note covering more than the day of the visit.
Blood pressure recheck
Emergency
YesThe most expensive way to have a reading taken.
Urgent care
Yes
Your own doctor
YesThe only place that will compare it with your earlier readings.
Tetanus shot
Emergency
Yes
Urgent care
Usually
Your own doctor
UsuallyThey may already have a record of when you last had one.
What one clinic offers varies. When it matters, call and ask before you travel.
In more detail
Emergency department
Every hour of every day
Problems that could threaten life, limb, or eyesight, and anything that came on suddenly and severely.
What it can do
Imaging, blood tests and heart monitoring on site
Can admit you to hospital
Reaches surgery and specialists
Cost Usually the most expensive option, and often the longest wait for problems that are not urgent. If the bill worries you, ask the hospital billing office about financial help once you have been treated.
Cost and insurance should not keep you away from emergency care.
Urgent care
Same day, evenings and weekends
Problems that will not wait days for a regular appointment, but are not dangerous.
What it can do
Stitches, splints and basic X-rays
Testing for common infections
What it cannot
Cannot admit you to hospital
Limited imaging, and no emergency surgery or heart monitoring
Cost Usually cheaper and faster than an emergency department for minor problems.
Your own doctor
Usually by appointment
Follow-up after an emergency visit, ongoing conditions, medicines, referrals, and anything that has been building slowly.
What it can do
Knows your history and your medicines
Reviews what the emergency department found, and what it did not
Adjusts long-term treatment and arranges specialist care
What it cannot
May not be able to see you the same day
Cost Usually the cheapest, and the only place that carries your care forward over time.
Being unsure is itself a reason to be seen
This page cannot tell you what is happening to you, and it is not a substitute for being
examined. Many practices have a nurse line that will talk it through with you, and your
discharge papers may name someone to call. When the choice is genuinely unclear and the
problem is getting worse, the emergency department is the safer error.