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Emergency care

Emergency care is the treatment of unexpected, severe medical injuries or infections. It is typically delivered in an emergency room or an ambulance. Our emergency medicine physicians stabilize your condition as quickly as possible to prepare you for the next step of care or discharge.

Emergency room (ER) in Fredericksburg, Virginia

When seconds count, our emergency team is here for you.

Spotsylvania Regional Medical Center offers you and your family emergency care from experienced specialists. We make each visit as quick and comfortable as possible, and we offer a FastTrack ER for less severe conditions.

Our 24/7 ER services

Our emergency department services are designed with your entire family in mind.

Comprehensive emergency room services

We are an Accredited Chest Pain Center and a Certified Primary Stroke Center. Our other features include:

  • Family-friendly ER
  • Free Wi-Fi
  • Obstetric hospitalists on-site 24/7
  • FastTrack ER services for minor emergencies
Pediatric-friendly emergency care

Our emergency medical hospital is pediatric-friendly. This means we specialize in pediatric services that meet the unique needs of ill or injured children.

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

Our pediatric-friendly ER provides:

  • Family-friendly environment
  • Pediatric medication management system enabling safer, faster dosing and administration
Obstetric (OB) ER

The OB ER is a separate triage and care space with a dedicated team available for women who are pregnant and in need of emergency care.

Here, our specialized staff includes OB hospitalists. These board-certified obstetric physicians are on-site 24/7. They focus solely on caring for patients in the hospital, rather than caring for patients in an outpatient setting.

Pregnant women who need emergency care can access the OB ER through our existing emergency department. OB medical emergencies are assessed and taken to the OB triage area to receive care from the on-site OB hospitalists.

Stroke center

Minutes matter when it comes to stroke treatment. As a Certified Primary Stroke Center, our emergency physicians, specialists and nurses are exceptional at swiftly identifying signs of a stroke. This enables them to administer lifesaving medications even faster.

FastTrack ER for minor emergencies

Sometimes you need immediate medical care for minor illnesses or injuries. In these cases, our FastTrack ER can help. It is similar to urgent care but provides all the resources of an ER. If your emergency becomes more serious, we can also quickly get you the care you need or admit you to the hospital.

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

Use the ER entrance to check in for our FastTrack ER, which is open from 10:00am to 10:00pm every day.

Our ER wait times

Check the top of our website or text "ER" to 32222 to find out the wait times of the HCA Virginia Health System ER closest to you.

Note: Message and data rates apply. ER wait times are approximate and provided for informational purposes only.

When you should go to the ER

We have listed some guidelines here to help you have a better idea of what conditions and symptoms may need emergency medical attention.

When to visit an ER

If you are having a medical emergency, call 911. You should also consider coming to the ER if you have:


Especially if you develop:

  • Pneumonia
  • Trouble breathing
  • Vomiting and/or severe loss of body fluids (dehydration)

Check our cold and flu symptoms chart.

Severe stomach pain

Especially if you also have:

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

Especially if you also have:

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

Especially if you also have:

  • Discomfort or pain in your stomach, neck, shoulder(s), jaws, arm(s) or upper back
  • Dizziness or lightheadedness
  • Fast or irregular pulse
  • Nausea or vomiting
  • Pain that spreads from the chest to the neck, jaw or arms
  • Shortness of breath
  • Signs of shock
  • Sweating
  • Unusual fatigue

If you have chest pain that is crushing or squeezing, especially if it is accompanied by any of the symptoms above, it could be a heart attack — call 911.

Concussion or head injury

Especially if you also have:

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

Especially if you also have:

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

Our Emergency care Locations

Currently Viewing:

Spotsylvania Regional Medical Center
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
 (540) 498 - 4000

Currently Viewing:

Spotsylvania Regional Medical Center
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
 (540) 498 - 4000
Fredericksburg ER
5005 Plank Rd
Fredericksburg, VA 22407
 (540) 736 - 6900

5.8 miles

Hanover Emergency Center
9275 Chamberlayne Rd
Mechanicsville, VA 23116
 (804) 417 - 0300

39.4 miles

The Healthy Living Blog

Read about other families' experiences receiving care from our emergency department.

What you should know about freestanding emergency rooms 

February 06, 2024
Learn more about emergency rooms, freestanding ERs and urgent care clinics and when to visit an ER rather than an urgent care center.

Safety tips for a happy holiday season 

November 16, 2023
Thousands are rushed to the ER with holiday decorating-related injuries each year. Here are some safety tips for the holiday season.