Severe Pulmonary Disease Associated with Using E-Cigarette Products

OFFICIAL CDC HEALTH ADVISORY

Severe Pulmonary Disease Associated with Using E-Cigarette Products

official cdc health advisory

Summary

The Centers for Disease Control and Prevention (CDC) is providing:

1) background information on the forms of e-cigarette products,

2) information on the multistate outbreak of severe pulmonary disease associated with using e-cigarette products (devices, liquids, refill pods, and cartridges), and

3) clinical features of patients with severe pulmonary disease. This health advisory also provides recommendations for clinicians, public health officials, and the public based on currently available information.

General Background

E-cigarettes typically contain nicotine, most also contain flavorings and other chemicals, and some may contain marijuana or other substances. They are known by many different names and come in many shapes, sizes, and device types. Devices may be referred to as “e-cigs,” “vapes,” “e-hookahs,” “vape pens,” “mods,” tanks, or electronic nicotine delivery systems (ENDS). Some e-cigarette devices resemble other tobacco products such as cigarettes; some resemble ordinary household items such as USB flash drives, pens, and flashlights; and others have unique shapes. Use of e-cigarettes is sometimes referred to as “vaping” or “juuling.” E-cigarettes used for dabbing are sometimes called “dab” pens.
E-cigarettes can contain harmful or potentially harmful substances, including nicotine, heavy metals (e.g., lead), volatile organic compounds, and cancer-causing chemicals. Additionally, some e-cigarette products are used to deliver illicit substances; may be acquired from unknown or unauthorized (i.e., “street”) sources; and may be modified for uses that could increase their potential for harm to the user. For example, some e-cigarette pods or cartridges marketed for single use can be refilled with illicit or unknown substances. In addition, some e-cigarette products are used for “dripping” or “dabbing.” Dripping involves dropping e-cigarette liquid directly onto the hot coils of an e-cigarette which can result in high concentrations of compounds (e.g., tetrahydrocannabinol [THC] and cannabinoid compounds). Dabbing involves superheating substances such as “budder”, butane hash oil (BHO), and “710” that contain high concentrations of THC and other plant compounds (e.g., cannabidiol [CBD]).

Youth, young adults, pregnant women, as well as adults who do not currently use tobacco products should not use e-cigarettes. E-cigarettes containing nicotine have the potential to help some individual adult smokers reduce their use of and transition away from cigarettes. However, e-cigarettes are not currently approved by the Food and Drug Administration (FDA) as a quit smoking aid, and the available science is inconclusive on whether e-cigarettes are effective for quitting smoking.

Outbreak Background

As of August 27, 2019, 215 possible cases have been reported from 25 states and additional reports of pulmonary illness are under investigation. One patient (in Illinois) with a history of recent e-cigarette use was hospitalized on July 29, 2019, with severe pulmonary disease and died on August 20, 2019. Although the etiology of e-cigarette-associated pulmonary disease is undetermined, epidemiologic investigations in affected states are ongoing to better characterize the exposures, demographic, clinical, and laboratory features and behaviors of patients. All patients have reported using e-cigarette products. The exact number is currently unknown, but many patients have reported using e-cigarettes containing cannabinoid products such as THC or CBD.

Based on reports from several states, patients have experienced respiratory symptoms (cough, shortness of breath, or chest pain), and some have also experienced gastrointestinal symptoms (nausea, vomiting, or diarrhea) or non-specific constitutional symptoms (fatigue, fever, or weight loss). Symptoms typically develop over a period of days but sometimes can manifest over several weeks. Gastrointestinal symptoms sometimes preceded respiratory symptoms. Fever, tachycardia, and elevated white blood cell count have been reported in the absence of an identifiable infectious disease. Many patients have sought initial care in ambulatory settings, some with several visits, before hospital admission.

Radiologic findings have varied and are not present in all patients upon initial presentation. Bilateral pulmonary infiltrates and diffuse ground-glass opacities have been reported. Many patients required supplemental oxygen, some required assisted ventilation and oxygenation, and some were intubated. Some patients have been treated with corticosteroids with demonstrated improvement. Antimicrobial therapy alone has not consistently been associated with clinical improvement. Assessment for infectious etiologies has been completed in many patients without an identified infectious cause. Several patients from one state have been diagnosed with lipoid pneumonia based on clinical presentation and detection of lipids within bronchoalveolar lavage samples stained specifically to detect oil.

All patients have reported using e-cigarette products and the symptom onset has ranged from a few days to several weeks after e-cigarette use. Within two states, recent inhalation of cannabinoid products, THC or cannabidiol, have been reported in many of the patients. To date, no single substance or e-cigarette product has been consistently associated with illness. CDC is working closely with state health departments to facilitate collecting product specimens for testing at the U.S. FDA Forensic Chemistry Center.

Know Where to Go in Case of an Emergency.

Recommendations for Clinicians

1. Report cases of severe pulmonary disease of unclear etiology and history of e-cigarette product use within the past 90 days to your state or local health department. Reporting of cases may help CDC and state health departments determine the cause or causes of these pulmonary illnesses.

2.  Ask all patients who report e-cigarette product use within the last 90 days about signs and symptoms of pulmonary illness.

3.  If e-cigarette product use is suspected as a possible etiology of a patient’s severe pulmonary disease, obtain a detailed history regarding:

    • Substance(s) used: nicotine, cannabinoids (e.g., marijuana, THC, THC concentrates, CBD, CBD oil, synthetic cannabinoids [e.g., K2 or spice], hash oil, Dank vapes), flavors, or other substances
    • Substance source(s): commercially available liquids (i.e., bottles, cartridges, or pods), homemade liquids, and re-use of old cartridges or pods with homemade or commercially bought liquids
    • Device(s) used: manufacturer; brand name; product name; model; serial number of the product, device, or e-liquid; if the device can be customized by the user; and any product modifications by the user (e.g., exposure of the atomizer or heating coil)
    • Where the product(s) were purchased
    • Method of substance use: aerosolization, dabbing, or dripping
    • Other potential cases: sharing e-cigarette products (devices, liquids, refill pods, or cartridges) with others

4.  Determine if any remaining product, including devices and liquids, are available for testing. Testing can be coordinated with the local or state health departments.

5.  Consider all possible causes of illness in patients reporting respiratory and gastrointestinal symptoms and of e-cigarette product use. Evaluate and treat for other possible causes of illness (e.g., infectious, rheumatologic, neoplastic) as clinically indicated. Consider consultation with specialists (pulmonary, infectious disease, critical care, medical toxicology) as appropriate.

6.  Clinical improvement of patients with severe pulmonary disease associated with e-cigarette use has been reported with the use of corticosteroids. The decision to use corticosteroids should be made on a case-by-case basis based on risks and benefits and the likelihood of other etiologies.

7.  Lipoid pneumonia associated with inhalation of lipids in aerosols generated by e-cigarettes has been reported based on the detection of lipid-laden alveolar macrophages obtained by bronchoalveolar lavage (BAL) and lipid staining (e.g., oil red O). The decision about whether to perform a BAL should be based on individual clinical circumstances.

8.  Lung biopsies have been performed on some patients. If a lung biopsy is obtained, lipid staining may be considered during pathologic examination, and is best performed on fresh tissue. Routine pathology tissue processing (including formalin-fixation and paraffin-embedding) can remove lipids. Conducting routine tissue processing and histopathologic evaluation is still important. Consider consultation with specialists in pulmonary medicine and pathology to help inform any evaluation plan.

9.  Patients who have received treatment for severe pulmonary disease related to e-cigarette product use should undergo follow-up evaluation as clinically indicated to monitor pulmonary function.

Recommendations for the Public

  1. While this investigation is ongoing, if you are concerned about these specific health risks, consider refraining from using e-cigarette products.
  2. Regardless of the ongoing investigation, anyone who uses e-cigarette products should not buy these products off the street (e.g., e-cigarette products with THC, other cannabinoids) and should not modify e-cigarette products or add any substances to these products that are not intended by the manufacturer.
  3. Regardless of the ongoing investigation, e-cigarette products should not be used by youth, young adults, pregnant women, as well as adults who do not currently use tobacco products. If you use e-cigarette products, monitor yourself for symptoms (e.g., cough, shortness of breath, chest pain) and promptly seek medical attention if you have concerns about your health. CDC and FDA will continue to advise and alert the public as more information becomes available.
  4. Adult smokers who are attempting to quit should use evidence-based treatments, including counseling and FDA-approved medications. If you who need help quitting tobacco products, including e-cigarettes, contact your doctor.
  5. If you are concerned about harmful effects from e-cigarette products, call your local poison control center at 1-800-222-1222.
  6. We encourage the public to submit detailed reports of any unexpected tobacco or e-cigarette-related health or product issues to the FDA via the online Safety Reporting Portal:https://www.safetyreporting.hhs.gov.

For More Information

  1. For assistance with managing patients suspected of illness related to recreational, illicit, or other drugs, call your local poison control center at: 1-800-222-1222.
  2. Information on electronic cigarettes and similar devices:https://www.cdc.gov/e-cigarettes
  3. CDC Press Statement: https://www.cdc.gov/media/releases/2019/s0821-cdc-fda-states-e-cigarettes.html
  4. CDC Clinical Outreach and Communication Activity announcement:https://emergency.cdc.gov/newsletters/coca/081619.htm
  5. CDC’s National Syndromic Surveillance Program’s BioSense/ESSENCE:https://www.cdc.gov/nssp/index.html
  6. For more information, visit CDC Info:https://www.cdc.gov/cdc-info/index.html

References

Barrington-Trimis JL, Samet JM, McConnell R.Flavorings in electronic cigarettes: an unrecognized respiratory health hazard? JAMA. 2014;312(23):2493-4.https://jamanetwork.com/journals/jama/fullarticle/1935097
Behar RZ, Davis B, Wang Y, Bahl V, Lin S, Talbot P.Identification of toxicants in cinnamon-flavored electronic cigarette refill fluids. Toxicol In Vitro. 2014;28(2):198-208.https://www.ncbi.nlm.nih.gov/pubmed/24516877
Flower M, Nandakumar L, Singh M, Wyld D, Windsor M, Fielding D.Respiratory bronchiolitis-associated interstitial lung disease secondary to electronic nicotine delivery system use confirmed with open lung biopsy. Respirol Case Rep. 2017;5(3):e00230.https://onlinelibrary.wiley.com/doi/full/10.1002/rcr2.230
Gerloff J, Sundar IK, Freter R, Sekera ER, Friedman AE, Robinson R, et al.Inflammatory Response and Barrier Dysfunction by Different e-Cigarette Flavoring Chemicals Identified by Gas Chromatography-Mass Spectrometry in e-Liquids and e-Vapors on Human Lung Epithelial Cells and Fibroblasts. Appl In Vitro Toxicol. 2017;3(1):28-40.https://www.liebertpub.com/doi/10.1089/aivt.2016.0030
He T, Oks M, Esposito M, Steinberg H, Makaryus M.“Tree-in-Bloom”: Severe Acute Lung Injury Induced by Vaping Cannabis Oil. Ann Am Thorac Soc. 2017;14(3):468-70.https://www.atsjournals.org/doi/10.1513/AnnalsATS.201612-974LE
Khan MS, Khateeb F, Akhtar J, Khan Z, Lal A, Kholodovych V, et al.Organizing pneumonia related to electronic cigarette use: A case report and review of literature. Clin Respir J. 2018;12(3):1295-9.https://onlinelibrary.wiley.com/doi/abs/10.1111/crj.12775
Kosmider L, Sobczak A, Prokopowicz A, Kurek J, Zaciera M, Knysak J, et al.Cherry-flavoured electronic cigarettes expose users to the inhalation irritant, benzaldehyde. Thorax. 2016;71(4):376-7.https://thorax.bmj.com/content/71/4/376

Centers for Disease Control and Prevention (CDC)

The Centers for Disease Control and Prevention (CDC) protects people’s health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national, and international organizations.

When to Seek Medical Help

Altus Emergency Centers offers minimal wait times, an onsite laboratory, and the most advanced imaging technology. Therefore, we can diagnose patients faster than traditional hospital-based ER’s.

There’s No Time to Wait in an Emergency!

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is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies. We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times. After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process. We are here to help you get well and stay well!

Could Your Abdominal Pain Be Appendicitis?

Could Your Abdominal Pain Be Appendicitis?

About 5 percent of Americans will experience abdominal pain caused by appendicitis sometime in their lives. 

Could you be one of them?

Read on to learn more about the causes, symptoms, and treatment of appendicitis. Knowing how to recognize the signs could save your life or that of a loved one.

What is Appendicitis?

As the name suggests, appendicitis is the painful swelling of the appendix, which is a small thin pouch about 2-4 inches long.

The appendix is attached to the large intestine. While nobody knows what its function is, we do know that removing it is not harmful.

 

How common is Appendicitis?

Appendicitis is the most common abdominal pain-related emergency that requires surgery. As we mentioned before, about 5 percent of Americans will develop it.

 

What Causes Appendicitis?

The appendix can swell for several reasons, including:

  • It becomes blocked, either by hardened stool, a foreign body, or cancer
  • As a response to any infection in the body
  • Intestinal worms
  • Traumatic injury

 

Who is at Risk?

Teens and young adults are the ones most likely to develop appendicitis. However, the condition may occur at any age.

What are the Symptoms of Appendicitis?

Typical signs and symptoms of appendicitis include:

  • Sudden abdominal pain that can begin at:  the lower right abdomen or around the navel and later shifts to the lower right abdomen
  • Abdominal pain that gets worse when you cough or walk
  • Abdominal swelling
  • Indigestion
  • Nausea and vomiting soon after abdominal pain begins
  • Loss of appetite
  • Fever of 99°F – 102°F
  • Inability to pass gas
  • Constipation or diarrhea

 

About 50 percent of patients will also experience one or more of the following symptoms:

 

  • Sudden pain anywhere in the upper or lower abdomen, back, or rectum
  • Difficulty urinating or painful urination
  • Severe cramps
  • Vomiting that starts before the abdominal pain begins
  • Either constipation or diarrhea with gas
stomach pain woman

How Serious Is Appendicitis, and What Happens if It Is Not Treated?

Acute appendicitis is a severe and sudden condition, with symptoms usually developing over one or two days. 

If you suspect your abdominal pain is due to appendicitis, you need to seek immediate medical attention. 

When left untreated, you run the risk of having your appendix burst a condition known as peritonitis.  Peritonitis is a severe life-threatening condition caused by bacteria from your ruptured appendix spilling into your abdominal cavity.

Know Where to Go in Case of an Emergency.

How is Appendicitis Diagnosed

Diagnosing appendicitis is not always easy because many of the symptoms are similar to those of other conditions. However, if you experience any severe abdominal pain, it’s a good idea to come to the nearest Altus Emergency Center, so we evaluate and diagnose you.

When you arrive at our center, if our doctors suspect you may have developed appendicitis, they will run some tests to diagnose you correctly. These tests include:

 

  • Abdominal Exam: During the examination, they will check for tenderness in the lower right part of your abdomen, as well as for any swelling or rigidity
  • Urine Test: This is done to rule out the possibility of your pain is caused by a urinary tract infection or kidney stones
  • Blood Test: A complete blood count test will tell our doctors if you have an infection
  • Abdominal Imaging Tests: These tests will help find any inflammation of your appendix. Our doctors may order one or more the following exams:
    • Abdominal Ultrasound
    • Abdominal X-Ray
    • Abdominal CT Scan

When to Seek Medical Help

Sudden severe abdominal pain is usually a red flag. If you suddenly develop any of the symptoms mentioned above, you should immediately head to the nearest Altus Emergency Center.

If we discover you do have appendicitis, we will stabilize you and arrange your transfer to the nearest qualified hospital for your surgery.

Thanks to our business alliances with ambulance services we can arrange transportation for you. In critical cases, we can also arrange to have you airlifted to the nearest hospital where a specialist will be waiting to prep you for surgery.

Timely diagnosis and treatment are crucial factors to avoid complications from appendicitis and to help save a patient’s life.

Altus Emergency Centers offers minimal wait times, an onsite laboratory, and the most advanced imaging technology. Therefore, we can diagnose patients faster than traditional hospital-based ER’s.

There’s No Time to Wait in an Emergency!

WHEN THERE’S NO TIME TO WASTE, TRY OUR ONLINE CHECK-IN

Check-In Online

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies. We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times. After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process. We are here to help you get well and stay well!

Top Time-Sensitive Medical Emergencies

When Minutes Matter Don’t Risk Your Life!

Top Time-Sensitive Medical Emergencies

Accidents and sudden illnesses come without warning, and nobody ever expects to be in a situation where someone’s life is at stake.

We are vulnerable and could face a life-threatening medical condition at any moment. When this happens, it’s essential to know when a medical emergency is time-sensitive.

In this article, we will talk about some of the top time-sensitive medical emergencies. Because getting someone the medical attention they need, right away, can help save their life.

What is a Time-Sensitive Medical Emergency?

A time-sensitive emergency is a medical condition where fast treatment can make a big difference in the eventual outcome for a person.

Conditions such as heart attacks, strokes, and severe trauma are considered time-sensitive medical emergencies.

In these circumstances, the faster a patient receives medical attention, the better his chances of surviving are. Additionally, receiving fast treatment can also lower the risk of permanent disability.

List of Top Time-Sensitive Medical Emergencies

The following is a list of some of the most common time-sensitive medical emergencies.

Cardiac and Circulatory Medical Emergencies

  • Cardiac Arrest: This is when your heart suddenly stops. If not treated immediately the patient will die.
  • Heart Attack:  This occurs when the blood supply to part of the heart stops. It needs immediate medical attention. Otherwise, that section of the heart muscle starts to die.  The earlier the intervention, the less damage to the muscle, the greater chance the patient has to survive.

“Every 40 seconds, someone in the United States has a heart attack.” – Heart.org

  • Deep Vein Thrombosis: A blood clot that forms within a deep vein, usually in the leg. If it breaks loose, it can travel through the bloodstream into the lungs and cause a pulmonary embolism.  Symptoms include: 

Swelling, Pain or tenderness not caused by injury, Skin that is warm to the touch, Redness or discoloration of the skin.”

Source: StoptheClot.org

  • Heart Arrhythmia: An abnormal heartbeat. Symptoms include palpitations or feeling a pause in between pulses.  Seek immediate ER if accompanied by chest pain or pressure, you may be having a heart attack. 

If accompanied by face drooping, arm weakness, slurred speech, sudden severe headache, trouble seeing or walking, confusion, and/or sudden numbness, you could be having a stroke. 

Source: Heart.org

chest pain causes altus ER Texas

Neurological Medical Emergencies

  • Stroke: Stroke is the No. 5 cause of death and the leading cause of disability in the United States. However, some medications can reserve a stroke when given within the first three hours of the onset of symptoms.
  • Spinal Cord Injury: Acute spinal cord compression is a medical emergency that requires swift diagnosis and treatment. If not treated promptly, it can cause irreversible spinal cord injury and long-term disability.
  • Guillain-Barre Syndrome: A rare disorder in which your body’s immune system attacks your nerves. The condition can eventually paralyze the whole body. According to the CDC:

“About two-thirds of people who develop GBS experience symptoms several days or weeks after they have been sick with diarrhea or a respiratory illness.”

severe headache Altus ER Texas

Trauma-Related Medical Emergencies

  • Traumatic Brain Injury: Serious traumatic brain injury requires immediate medical attention as they can result in long-term complications or death. Find out more about TBI.
  • Chest Injury: This includes any form of physical damage to the chest, including the ribs, heart, and lungs. Chest injuries account for a quarter of all deaths from traumatic injury. To increase survival rates, patients need immediate medical attention.
  • Profuse Bleeding: Wounds that results in uncontrolled bleeding can lead to a condition known as shock. Shock is a life-threatening medical emergency where the patient no longer has enough blood circulating in their body.  Read about Cuts and Scrapes.
car accident trauma emergency

Know Where to Go in Case of an Emergency.

Gastrointestinal Medical Emergencies

  • Appendicitis: It happens when the appendix becomes inflamed. If the appendix bursts it can cause a potentially fatal condition known as peritonitis.  Symptoms may include:

Sharp pain in the lower right abdomen, appetite-loss, nausea and/or vomiting soon after abdominal pain begins, abdominal swelling, fever of 99-102 °F.

  • Intestinal Obstruction: A blockage that prevents food or liquid from passing through either the small intestine or large intestine (colon).

Without swift medical intervention, the blocked parts of the intestine can die, and lead to severe problems.

Environmental Medical Emergencies

  • Heat-Related Illnesses: Heatstroke, severe dehydration, and heat exhaustion are all potentially life-threatening conditions if not treated rapidly.
  • Electrical Injuries: Electric currents from lightening, household appliances, or power lines can travel through the body burning both internal and external tissues. Electrical shock can also damage internal organs and cause your heart to stop.
heat illness altus ER centers Texas

Infection and Infectious Disease Medical Emergencies

  • Bacterial Meningitis: The most dangerous type of meningitis, if not treated quickly it can lead to death or permanent disability.
  • Gas Gangrene: Gas gangrene, is a fast-spreading and potentially life-threatening form of gangrene caused by a bacterial infection.
  • Necrotizing Fasciitis: Commonly known as a flesh-eating disease this rare bacterial infection can spread quickly in the body and can cause death.
  • Sepsis: A potentially life-threatening condition caused by the body’s response to an infection. If left untreated, sepsis it will progress into septic shock and may lead to death.  Signs may include:

High heart rate, shivering, fever, confusion and disorientation, shortness of breath, extreme pain or discomfort, sweating or clamming skin.  Source:  CDC.gov.

What to Do in A Time-Sensitive Medical Emergency

Knowing what to do during a time-sensitive medical emergency can save your life or that of a loved one.

The best way to handle an emergency is to prepare ahead of time. Here is how you can create your emergency plan:

  • Create a Contact List: Create a Contact List: Make a list for your family of who to contact in case of an emergency.  Include emergency numbers such as 911, your doctor, family members, and Altus Emergency Centers.
  • Know Where to Go: Remember, time is of the essence in a medical emergency. Therefore, when possible, choose to receive treatment at an Altus Emergency Centers where there are no lines with No Wait Times through our Quick Online Check-In.
  • Review Your Insurance: By law, all insurance companies must offer emergency room coverage. However, it’s always a good idea to understand what and how much your insurance policy covers. Our Patient Advocate team is available to help you with this is you need it.

At Altus Emergency Centers, we always put the patients first. When you visit our facilities, you will have:

  • No Lines.
  • More time with your treating physicians.
  • Personalized high-quality treatment.

Don’t risk your life during a medical emergency; choose the best ER care for you and your loved ones.

There’s No Time to Wait in an Emergency!

WHEN THERE’S NO TIME TO WASTE, TRY OUR ONLINE CHECK-IN

Check-In Online

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies. We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times. After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process. We are here to help you get well and stay well!

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