ER in Richmond

When you need emergency care in central Virginia, you want to know you are getting the best care as quickly as possible. Located south of the river in Richmond, Chippenham Hospital's emergency room is prepared to handle any medical emergency you have, any time of day.

If you think you or a loved one are experiencing an emergency, always call 911 first.

If you aren't sure whether you or a loved one should come to the ER or wait for your doctor's office to open, you can contact a nurse 24/7 by phone at (804) 320-3627.

Text 'ER' to 32222 to find out the HCA ER wait times closest to you (message and data rates may apply).

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.

Our emergency services

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 with HCA Healthcare.

Our emergency room offers:

Our emergency room also offers complimentary valet parking and free Wi-Fi.

Mental health emergencies

A mental health crisis can be frightening and challenging for family and friends to understand. Chippenham provides a team of emergency care professionals who are available 24/7 to provide crisis assessment and intervention services for children, adolescents, adults and geriatric patients.

If you think that you or a loved one may be suffering, Tucker Pavilion can help. Call our 24-hour behavioral health access line: (804) 483-0050.

Pediatric ER

The ER can be a scary place for kids. That’s why the pediatric ER at Chippenham is separate from the main emergency room in an environment designed to comfort and care for children. Our pediatric ER is staffed around-the-clock with board-certified pediatric specialists who parents in Richmond trust to care for their children in emergencies.

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

Stroke care

The expert doctors at Chippenham's Joint-Commission Certified Primary Stroke Center use on-site examinations and telemedicine capabilities to provide patients real-time interactions and improve communications with other medical staff.

Our stroke patients can quickly access neurologists at Johnston-Willis Hospital who can analyze scans and reports of their tests to make informed decisions about care.

Heart attack care


Chippenham provides outstanding care for heart attacks, receiving The Joint Commission Gold Seal Certificate of Distinction for Myocardial Infarction. Because many people can experience warning signs of a heart attack hours, days or even weeks in advance, the cardiologists t Chippenham's Levinson Heart Institute offer many heart imaging services to intervene and help prevent a cardiac event.

During your ER visit

Our emergency room staff is committed to providing you and your family with the highest quality of cost-effective emergency care. We want you to know what to expect when you enter our emergency room and make sure your stay is as comfortable as possible.

Triage process

The first step in visiting Chippenham's emergency room is working with the triage nurse to understand your symptoms. Triage is how our ER staff gathers information about your vital signs and your illness in order to give the doctor vital information prior to the exam.

ER registration

After meeting with the triage nurse, you will be taken to a bed if there is one available. A registration coordinator will either come to your bed side or have a family member assist with completing your registration. If you have your insurance information with you, please have it ready to present.

Please note that our hospital policy prioritizes patients with life-threatening issues or serious medical conditions.

Examination and treatment

You will receive an initial examination by a doctor and may be taken to radiology for X-rays or have your blood drawn for testing and then be returned to your room. Once the medical team has your results, the emergency physician will discuss your condition with you and prescribe a course of treatment.

Please be aware that pain cannot be treated without a physician order.

After testing is complete, the physician will determine if you can be released from the ER or will need to be admitted to the hospital for additional treatment or recovery.

Care for smaller emergencies

Our FastTrack ER is an extension of the Chippenham Hospital ER, designed to care for less critical emergencies. Unlike a walk-in clinic or an urgent care center, should your emergency become more serious, we can quickly get you the care you need and even admit you to the hospital.

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 area for our FastTrack ER. We also have complimentary valet parking to make your visit even faster. FastTrack ER is open daily from 7 a.m. to 11 p.m. and closed Saturdays. The Chippenham Hospital ER is open 24 hours a day.

ER wait times

ER wait times are approximate and provided for informational purposes only. If you are having a medical emergency, call 911.

The ER wait time represents the time it takes to see a qualified medical professional, defined as a doctor of medicine (MD), doctor of osteopathy (DO), physician assistant (PA) or advanced registered nurse practitioner (ARNP).

ER wait times represent a four-hour rolling average updated every 30 minutes and is defined as the time of patient arrival until the time the patient is greeted by a qualified medical professional.

Patients are triaged at arrival and are then seen by a qualified medical professional in priority order based on their presenting complaint and reason for visit.