Emergency room in Montgomery County

LewisGale Hospital Montgomery offers comprehensive emergency services 24/7, including a Level III Trauma Center for critical injuries, to patients in and around Virginia's New River Valley.

With a focus on providing expert, compassionate treatment for a wide range of emergent conditions and injuries, our highly trained physicians and nurses are ready to deliver fast, effective emergency care when you need it most.

If you or a loved one is experiencing a medical emergency, call 911.

Getting to our Blacksburg ER

When visiting the ER at LewisGale Hospital Montgomery, look for the marked emergency entrance. You can park for free in the lot right outside of the ER. You will then walk through the emergency entrance and enter your information in the kiosk by the door. After you visit the kiosk, our staff will direct your next steps for receiving emergency care.

Recognized heart and stroke services

LewisGale Hospital Montgomery has earned recognition as an Accredited Chest Pain Center by the American College of Cardiology and as an Acute Stroke Ready Hospital by The Joint Commission, in collaboration with the American Heart Association/American Stroke Association. These recognitions note our exceptional ability to meet or exceed strict standards of care to support better outcomes for our patients.


Trauma care

Part of HCA Virginia's emergency care program, our hospital has received designation as a state-recognized Level III Trauma Center, meaning we've met stringent state standards in our ability to care for some of the most critically injured patients.

When should I go to the ER?

You should go to an emergency room if you're experiencing any of the below symptoms or conditions:

  • Bite from an animal or from a potentially dangerous bug/spider
  • Bleeding from a cut or wound that won't stop
  • Chest pain accompanied by sweating, dizziness and nausea (all signs of a heart attack)
  • Head injury or concussion
  • Open fractures
  • Severe and sudden pain, especially in your abdomen
  • Significant difficulty breathing
  • Sudden dizziness, weakness and changes in vision, which could indicate a stroke
  • Traumatic injury
If you're not sure if you need to go to the ER, you can call our free, 24/7 Consult-A-Nurse line.

FastTrack ER

Our FastTrack ER is designed to provide expedited medical care for patients coming to the ER who do not have a life-threatening condition, but still require immediate medical care. This is an ideal option for patients with less serious illnesses or injuries, such as flu-like symptoms or minor injuries and infections.

The FastTrack ER is open 24 hours a day, seven days a week. Use the ER entrance and check-in for our FastTrack ER.

Emergency care before you arrive at the hospital

We were the first hospital system in Southwest Virginia to use a new real-time, cloud-based new communication network and mobile app technology connecting our hospital with emergency medical services (EMS) in the field.

This technology allows our emergency specialists to diagnose a life-threatening event (such as a stroke, heart attack, shock or sepsis) before a patient even gets to the ER. It also enables our staff to activate the appropriate healthcare team to begin administering immediate, lifesaving care as soon as the patient arrives, further increasing the odds of a successful recovery.