Emergency room in Spotsylvania County

If you or someone you know is experiencing an emergency, always call 911 first.

When you need emergency care in Fredericksburg, Virginia, you want to know you are getting the best care as quickly as possible.

Our physicians are board certified in emergency medicine and have additional training to care for kids. We make each emergency visit as quick and comfortable as possible, and we offer a FastTrack ER for less serious illness and injuries.

Look at the top of the page for SRMC's ER wait times, or text ’ER’ to 32222 to find out the HCA ER wait times closest to you (message and data rates may apply).

Why choose our ER: advanced care, comfort and convenience

Our top priority is making sure you get the care you need quickly and that we provide it with the compassion and comfort you expect at an HCA Healthcare facility.

Our emergency room offers:

Accredited Chest Pain Center


A heart attack is a true medical emergency. As an Accredited Chest Pain Center, we are recognized by the Society of Cardiovascular Patient Care for our ability to provide fast, effective diagnosis of and treatment for heart attack.

Our commitment to quality cardiovascular care means your heart is in good hands at Spotsylvania Regional Medical Center.

Advanced Primary Stroke Center


Every second counts during a stroke. Spotsylvania Regional Medical Center is one of the only stroke centers in the area certified by the Joint Commission, demonstrating our focus on rapid stroke diagnosis and treatment.

Pediatric-friendly emergency care

The pediatric-friendly ER at Spotsylvania Regional Medical Center has specialized services to meet the unique needs of ill or injured children. Our board-certified physicians and specially trained nurses don’t approach or interact with your child like they would with an adult patient. Instead, our goal is to make his or her visit as comfortable and easy as possible while meeting your child's unique needs during a medical emergency.

We understand how important the parent-child relationship is, which is why we keep you informed during every step of your child’s treatment and work with you to do what's best for your child's wellness.

If your child is experiencing an emergency, always call 911 first.

Along with the above features, our pediatric-friendly ER provides:

  • Board-certified emergency medicine physicians who are trained in pediatrics
  • Nurses with special training and certification in pediatric care
  • Pediatric medication management system that allows us to improve the speed, accuracy and administration of medications, reduce medical errors and standardize pediatric medication dosing.
  • Family-friendly environment
  • Complimentary valet parking so you and your child can go directly to the ER

FastTrack ER: minor emergencies, convenient care

When you need medical care for minor illness or injury but your doctor’s office isn’t open or they can’t get you an appointment, the FastTrack ER at Spotsylvania Regional Medical Center can help.

Our FastTrack ER is an extension of our ER and is designed to care for less critical emergencies. It is similar to an urgent care but with all the resources of an emergency room available.

Should your emergency become more serious, we can quickly get you the care you need or admit you to Spotsylvania Regional Medical Center if necessary.

The FastTrack ER is open from 10 a.m. to 10 p.m. every day.

Our FastTrack ER is for anyone two years old and older with medical conditions that are not emergencies but require treatment within 24 hours.

Use the ER entrance and check-in for our FastTrack ER.

Should I go to the ER or my doctor's office?

You need the right care at the right place. Sometimes it's hard to know if you should seek emergency care, urgent care or schedule an appointment with your provider.

Knowing what to do could save your life in a medical emergency. Our symptom checker can help guide you to make the right decision about going to the ER at Spotsylvania Regional Medical Center.

Unsure if you should go to the ER or see your doctor? You can contact a nurse 24 hours a day by phone at (888) 685-1610.

ER symptom checker

The flu virus is very common and does not normally require a visit to the ER. But, for the high-risk populations listed below, it can be very serious:

  • Infants
  • People 65 years old and older
  • Pregnant women
  • People with certain diseases, such as asthma or chronic obstructive pulmonary disease (COPD)
  • People with weakened or compromised immune systems

Signs that you should go to the ER with the flu include:

  • Trouble breathing
  • Vomiting that can’t be controlled, to the point of severe loss of body fluids (dehydration)
  • If you develop complications such as pneumonia
  • Still not sure? Consult our cold/flu/stomach flu symptoms chart for more information.

Stomach pain is the most common reason patients visit the ER. Everyone experiences stomach pain at some point. It can result from a variety of causes and occur in varying degrees of severity. So when is your pain serious enough to go to the emergency room?

You should seek immediate medical attention if your stomach pain is accompanied by any of the following symptoms:

  • Stomach is hard and/or tender to the touch
  • Persistent nausea or vomiting
  • Inability to eat without nausea or vomiting
  • Pain in your chest, neck or shoulder
  • Shortness of breath or dizziness
  • High fever
  • Irregular heartbeat
  • Dark or black stool
  • Vomit contains blood

Respiratory distress can be the result of chronic conditions, like asthma or emphysema, or something more serious, such as heart failure. Signs that you should seek emergency medical treatment include:

  • Breathing stops
  • Severe shortness of breath that affects your ability to function
  • Noisy, high-pitched and rapid wheezing
  • Coughing up blood
  • Inability to speak comfortably and sustain voice while at rest
  • Breathing difficulties when you lie flat
  • Breathlessness that doesn’t stop after 30 minutes of rest
  • Or if your trouble breathing is accompanied by any of the following symptoms:

    • Back or arm pain
    • Pain or tightness in chest
    • Extreme fatigue
    • Swelling in your feet and ankles
    • High fever, chills and cough

Call 911 right away if you have chest pain that is crushing or squeezing and comes with any of these symptoms:

  • Sweating
  • Shortness of breath
  • Nausea or vomiting
  • Pain that spreads from the chest to the neck, jaw or arms
  • Lightheadedness
  • Fast or irregular pulse
  • Signs of shock

Signs of a heart attack may show up in other ways in women, and may include:

  • Unusual fatigue
  • Shortness of breath
  • Nausea or vomiting
  • Dizziness or lightheadedness
  • Discomfort in your gut
  • Discomfort in the neck, shoulder or upper back

A concussion or any injury to the head can be very serious. If you have hit your head and have any of these symptoms, you should go to the ER:

  • Loss of consciousness, even briefly
  • Any period of amnesia or loss of memory of the event
  • Slurred speech
  • Feeling dazed or confused
  • Worsening or severe headache
  • Vomiting
  • Seizure

Most people will experience pain in their side or abdomen at some point in their lives, and it’s usually only temporary. However, severe side pain can be an indication of something serious.

If you have severe pain, especially in your lower right stomach, side or back, or if your pain is accompanied by any of the following symptoms, you should seek immediate medical treatment:

  • Fever
  • Dizziness
  • Persistent nausea or vomiting
  • Constipation
  • Diarrhea
  • Blood in the urine or pain during urination or have had a recent urinary tract infection (UTI)

Severe pain lasting only a few seconds may be nothing to worry about unless it’s reoccurring. If severe pain persists for more than a few minutes you should seek medical attention regardless of other symptoms.

Some common diagnoses may include:

  • Urological issues, such as a kidney infection, kidney stones or a bladder infection Appendicitis
  • Ovarian cyst
  • Side pain can be an indication of a number of different medical conditions. If the pain is severe, it’s important to get it checked out by a medical professional.

What to expect when you come to the ER

When you first get to the ER, a triage nurse will ask you about your symptoms and take some vital signs. Once you have seen a healthcare professional, a registration clerk will get information for your medical record and insurance. Whether or not you have insurance or are able to pay, you will be medically screened, evaluated and stabilized.

If you have a life-threatening illness or injury, you will be first to be treated in the ER, followed by seriously ill or unstable patients. All others will be seen in the order that they come to the ER. We strive to make your time in the waiting room as pleasant and brief as possible.

What to bring with you to the ER:

  • List of medicines you take or the actual medicines
  • List of known medical allergies
  • A copy of results from any recent medical tests
  • List of recent medical procedures
  • Care preferences or restrictions
  • A responsible adult or phone number for someone to contact

Before you are sent home, ask any questions you may have about your care. Make sure you keep all your paperwork, discharge instructions and medicines, if you receive any.

If you have a primary care provider listed in your medical record, we will give them a copy of your visit summary. Contact your primary care provider after you visit our emergency room. We can help you find a primary care doctor if you don't have one.