When to visit the ER for dizziness

Feelings of dizziness can actually indicate two different conditions: lightheadedness and vertigo.

Lightheadedness can cause you to feel dizzy or as if you are about to pass out, but not as though your surroundings are moving. Often, this feeling of lightheadedness goes away once you lie down. Vertigo is a feeling that you or your surroundings are moving when neither actually is. Feeling as though you're off balance or tilting could be an indicator of vertigo.

If you're not sure whether your dizziness requires emergency care, consider these guidelines.

If the dizziness is not fleeting, eased by lying down or your balance is compromised, you should immediately visit the closest emergency department. If dizziness is accompanied by any of the following symptoms, you should also seek emergency care:

• Other neurological symptoms, including double vision and loss of vision
• Slurred speech
• Weakness in the muscles
• Difficulty walking
• Headache
• Vomiting

For individuals with certain medical histories, dizziness may signify a more serious issue. If you have any of these medical conditions and are experiencing bouts of dizziness, you should visit an emergency department:

• Individuals over the age of 50
• History of fainting associated with dizziness
• Underlying heart disease or previous stroke

Patients can complete advance check-in to any of Wesley's four emergency rooms with a free mobile app available for Apple iPhones in iTunes and for Android Phones in the Google Play app Store. Patients can also complete advance registration at Wesley ER Check In. Users simple select which Wesley facility they would like to go to and fill out a few required fields. The selected ER will be instantly notified, enabling the ER staff to better prepare for the patient's arrival. The app and website include the facilities' average wait times so patients can better plan their visit.

ER wait times are approximate and provided for informational purposes only. If you are having a medical emergency, call 911.

ER wait times represent a four-hour rolling average updated every 30 minutes and are defined as the time of patient arrival until the time the patient is greeted by a qualified medical professional. Patients are triaged at arrival and are seen by a qualified medical professional in priority order based on their presenting complaint and reason for visit.

The ER wait time represents the time it takes to see a qualified medical professional, defined as a doctor of medicine (MD), doctor of osteopathy (DO), physician assistant (PA) or advanced registered nurse practitioner (ARNP).

National average wait time is one hour, according to the Centers for Disease Control and Prevention (CDC). HCA hospitals strive to beat the national average.

Wesley's main emergency department also provides Ready Care services, an “express lane” through the emergency department in a convenient, timely setting. These services are an alternative care route to the regular emergency department where treatment is determined on the severity of the patient's condition. Ready Care is ideal for patients who need immediate care for small emergencies, such as sprains, sore throats, ear infections and rashes. The service area is managed by providers trained in emergency medicine and is fully supervised by board-certified physicians. Patients are referred to the area through the regular emergency department.

If you are experiencing a medical emergency, please contact 911 or seek medical attention immediately.