Overview
Emergency rooms (ERs) provide immediate care for sudden, severe, or potentially life-threatening health problems. Evidence from hospital systems and national medical authorities shows that people—including men—most often seek emergency care for symptoms that require rapid evaluation to prevent death, permanent disability, or serious complications. These visits are driven by symptoms, not confirmed diagnoses, and decisions are based on how dangerous or fast-progressing those symptoms may be.
Note on scope: Much of the available evidence applies to adults broadly; men are included where evidence supports general adult patterns.
Key Takeaways
- ER visits are most commonly driven by chest pain, injuries, abdominal pain, breathing problems, and neurological symptoms.
- Chest pain and breathing difficulty are treated as emergencies due to the risk of rapid deterioration.
- Early evaluation improves outcomes for time-sensitive conditions such as heart attack and stroke.
- Urgent care is appropriate for minor issues; the ER is appropriate for severe, sudden, or worsening symptoms.
Most Common Reasons for Emergency Room Visits
The following symptom groups are consistently identified as leading reasons adults seek emergency care. These reasons apply broadly to men as part of the adult population.
Chest Pain and Heart-Related Symptoms
Chest pain is treated as a medical emergency because it can signal a heart attack or other serious cardiovascular conditions. Emergency departments prioritize rapid testing—such as electrocardiograms (EKGs)—when chest pain or related symptoms appear.
Emergency symptoms include:
- Chest pressure, squeezing, or tightness
- Pain spreading to the arm, shoulder, neck, jaw, or back
- Shortness of breath
- Sweating, nausea, or lightheadedness
Heart attacks worsen rapidly without treatment, and early emergency care improves outcomes.
Injuries and Trauma
Injuries are a leading cause of emergency visits. Emergency departments are equipped to provide imaging, wound care, and monitoring that are not available in non-emergency settings.
Examples include:
- Deep cuts or uncontrolled bleeding
- Broken bones or suspected fractures
- Head injuries or concussions
- Severe sprains or joint injuries
Traumatic injuries can lead to permanent damage if not treated promptly.
Abdominal Pain
Abdominal pain is one of the most frequent reasons adults visit the ER. Sudden, severe, or worsening pain may indicate a serious condition that cannot be safely evaluated outside an emergency setting.
Emergency-level abdominal symptoms include:
- Severe or persistent pain
- Pain accompanied by fever or vomiting
- Blood in vomit or stool
- Abdominal pain with fainting or dizziness
Emergency evaluation is often needed to rule out dangerous causes.
Breathing Problems
Difficulty breathing is always considered a medical emergency. Respiratory symptoms can worsen quickly and may be caused by infections, allergic reactions, heart conditions, or blood clots.
Emergency symptoms include:
- Shortness of breath at rest
- Severe asthma attacks or wheezing
- Chest tightness with breathing
- Blue or gray discoloration of lips or face
Prompt assessment is critical to prevent respiratory failure.
Neurological Symptoms
Sudden neurological changes require immediate emergency care because they may indicate stroke or other serious brain conditions.
Emergency neurological symptoms include:
- Sudden weakness or numbness on one side of the body
- Trouble speaking or understanding speech
- Severe, unusual headaches
- Seizures or loss of consciousness
Stroke outcomes are highly time-dependent, and early treatment reduces long-term disability.
When to See a Doctor vs. Go to the Emergency Room
Go to the Emergency Room Immediately for:
- Chest pain or pressure
- Signs of stroke (face drooping, arm weakness, speech difficulty)
- Trouble breathing or choking
- Heavy or uncontrolled bleeding
- Severe burns or electrical injuries
- Sudden confusion, collapse, or loss of consciousness
Prompt treatment in these situations can be lifesaving.
Consider Urgent Care or Primary Care for:
- Minor cuts or burns
- Mild infections
- Flu-like symptoms without breathing difficulty
- Sprains without deformity
If symptoms are severe, sudden, or worsening, emergency care is the safer option.
Why Delaying Emergency Care Is Dangerous
Delaying emergency care significantly increases the risk of complications. Conditions such as heart attacks, strokes, serious infections, and internal bleeding worsen rapidly without treatment. Evidence shows that early evaluation leads to better outcomes and fewer long-term effects.
Can Some Emergency Visits Be Prevented?
Some emergency visits may be reduced through early care and prevention, such as:
- Managing chronic conditions with regular medical follow-up
- Seeking medical care early for concerning symptoms that are not yet emergencies
- Recognizing warning signs of serious illness
However, prevention should never replace emergency care when severe symptoms occur.
Frequently Asked Questions
What are the most common reasons adults go to the emergency room?
Chest pain, injuries, abdominal pain, breathing problems, and neurological symptoms are among the most common reasons adults seek emergency care.
Should chest pain always be treated as an emergency?
Yes. Chest pain should always be evaluated promptly because it can indicate a heart attack or other serious condition, even if the pain seems mild.
Do injuries commonly require emergency care?
Yes. Many injuries require imaging, wound care, or monitoring that is only available in an emergency department.
When is abdominal pain an emergency?
Abdominal pain is an emergency if it is severe, sudden, persistent, or accompanied by fever, vomiting, bleeding, fainting, or dizziness.
Is there a safe waiting period for severe symptoms?
No. There is no safe waiting period for severe or sudden symptoms. Emergency care should be sought immediately if symptoms are intense, worsening, or concerning.
Why do people go to the ER for breathing problems?
There is high-quality evidence that difficulty breathing can signal life-threatening conditions and requires prompt emergency evaluation.
When should someone go to the ER instead of urgent care?
Emergency care is appropriate for life-threatening symptoms, severe pain, trauma, chest pain, stroke symptoms, or breathing problems.
Why is someone admitted to the hospital after an ER visit?
There is high-quality evidence that some ER visits lead to hospitalization when serious conditions—such as heart attacks, strokes, or severe infections—are identified.
Why is someone suddenly in the hospital?
There is no high-quality evidence supporting a single universal reason; hospital admission depends on the specific medical condition identified during emergency evaluation.
APA Reference List
Agency for Healthcare Research and Quality. (n.d.). Statistical brief #47: Emergency department visits for adults, 2005. Healthcare Cost and Utilization Project (HCUP). https://hcup-us.ahrq.gov/reports/statbriefs/sb47.jsp
American Heart Association. (2024, December 12). Warning signs of a heart attack. https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack
Centers for Disease Control and Prevention. (2024, October 24). About heart attack symptoms, risk, and recovery. https://www.cdc.gov/heart-disease/about/heart-attack.html
Centers for Disease Control and Prevention. (2024, May 15). About men and heart disease. https://www.cdc.gov/heart-disease/about/men-and-heart-disease.html
Centers for Disease Control and Prevention. (2024, May 15). About men and stroke. https://www.cdc.gov/stroke/about/men-and-stroke.html
Centers for Disease Control and Prevention, National Center for Health Statistics. (n.d.). FastStats: Leading causes of death. https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
Centers for Disease Control and Prevention. (2024, October 24). Heart disease facts. https://www.cdc.gov/heart-disease/data-research/facts-stats/index.html
Centers for Disease Control and Prevention. (n.d.). Stroke facts. https://www.cdc.gov/stroke/data-research/facts-stats/index.html
Good Samaritan Hospital. (2025, September 11). Top reasons people visit the emergency room. https://www.goodsamsanjose.com/healthy-living/blog/top-reasons-people-visit-the-emergency-room-2025
MedlinePlus. (2024, September 4). When to use the emergency room – adult. National Library of Medicine. https://medlineplus.gov/ency/patientinstructions/000593.htm
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Renown Health. (2024, March 26). Know when to visit an ER: Top 5 concerns. https://www.renown.org/blog/top-5-reasons-people-visit-the-er-in-nevada
U.S. Bureau of Labor Statistics. (2024, December 19). National census of fatal occupational injuries in 2023 (USDL-24-2564) [PDF]. https://www.bls.gov/news.release/pdf/cfoi.pdf
U.S. Bureau of Labor Statistics. (n.d.). Civilian occupations with high fatal work injury rates. https://www.bls.gov/charts/census-of-fatal-occupational-injuries/civilian-occupations-with-high-fatal-work-injury-rates.htm
Vaidya, V., Partha, G., & Karmakar, M. (2012). Gender differences in utilization of preventive care services in the United States. Journal of Women’s Health, 21(2), 140–145. https://doi.org/10.1089/jwh.2011.2876