Cold or flu? When to go to the ER

MetroHealth emergency physician names red flag symptoms and other care options
Published: Nov. 11, 2026 at 5:09 PM EST|Updated: 24 minutes ago

CLEVELAND, Ohio (WOIO) - Shortness of breath, lightheadedness and chest pain are red flag symptoms to watch for as respiratory illnesses increase nearing the start of winter, according to MetroHealth Medical Center emergency physician Dr. Jeremiah Escajeda.

“For the average healthy adult, any sort of severe respiratory distress would be the number one red flag to seek emergency department care,” Escajeda said.

Symptoms such as an earache, sore throat or fever do not necessarily need to be evaluated in the emergency room.

“I’m sure there are some people who could be adequately treated with a primary care physician or urgent care appointment,” Escajeda said.

However, the conversation changes for people who are more susceptible to illness due to age or diabetes, for example.

Still, for anyone concerned about a medical emergency, Escajeda said, “Calling 911 or going to an emergency department is always the right choice.”

Escajeda offered simple steps to stay healthy during flu season: “Hand washing, hand sanitizing, and make sure you are vaccinated against influenza.”

For a link to sign up for a virtual visit at MetroHealth Medical Center, click here.