Seeking medical help in the ER vs. urgent care

injured ankle In a typical year, 130 million Americans visit an emergency department. The reasons are many: Your newborn spikes a fever in the middle of the night. You slip from a ladder completing a DIY project. Your spouse wakes up with sudden chest pain.

Deciding to go to the emergency room can be among the most impactful healthcare decisions anyone makes in their life. However, wait times, cost and COVID-19 concerns can complicate the decision to make a trip to the ER.

In recent years, non-hospital-based emergency departments and standalone urgent care facilities have become more popular. These facilities complement traditional primary care physicians and have added options, and some confusion, to the typical family’s healthcare choices.

Knowing your options can help you get the right type of care right away.

Key Differences Between the ER and Urgent Care

While urgent care is an excellent option in certain situations, it can be difficult to determine when to visit an urgent care facility versus the ER. It can be helpful to think of urgent care as a middle ground between your primary care doctor and an ER.

Urgent care facilities offer similar services to a primary care physician, with the speed and flexibility of an emergency room.

Unlike your primary care physicians, urgent care centers offer a walk-in option. They are typically open seven days a week and sometimes feature 24-hour service. Most urgent cares also offer limited imaging technology, such as X-rays. Check local listings to determine urgent cares’ specific hours of operation and services provided.

One difference is that urgent care facilities are not equipped with the same, advanced imagining technologies and lab services that ERs use to treat life-threatening conditions. ER teams also have access to specialized physicians within their connected hospital. For example, if you are experiencing heart attack symptoms, you would want to go somewhere with a cardiologist on staff. Life-threatening symptoms should prompt an ER visit over urgent care.

Use the chart below to help determine which option is right for you based on your symptoms. Always remember, if you think your injury or condition might be life- or limb-threatening, call 911 or get to the nearest ER immediately.


The ER team at Wellington Regional Medical Center is ready to provide you with exceptional emergency care in both the main campus emergency center and Freestanding ER in Westlake. Both locations boast 24/7 emergency assistance, advanced technologies, and a comprehensive range of emergency services. If you are experiencing a medical emergency, call 911 or get to the nearest emergency room.