Emergency room (ER) in Fredericksburg, Virginia

When you need emergency care in Fredericksburg, Virginia, our physicians are board certified in emergency medicine and have additional training to care for kids. We will also make each emergency visit as quick and comfortable as possible. To help make that possible, we offer a FastTrack ER for less serious illnesses and injuries.

If you are experiencing a medical emergency, call 911.


As an Accredited Chest Pain Center and a Primary Stroke Center, we are recognized by the American College of Cardiology and The Joint Commission, respectively, for our fast, effective care for heart attacks and strokes.

Our 24/7 ER

Features of our ER include:

Obstetric (OB) ER

The OB ER is a separate triage and care space that allows for a dedicated, specialized staff to be available for women who are expecting and in need of emergent care. This specialized staff includes OB Hospitalists, board-certified obstetric physicians, who are on-site 24/7. These specially trained physicians focus solely on caring for patients in the hospital, rather than those in an outpatient setting. Pregnant women who need emergent care can access the OB ER through the hospital's existing emergency department. OB medical emergencies are assessed and taken to the OB triage area to receive care from the on-site OB hospitalists.

Pediatric-friendly emergency care

Our ER is also pediatric-friendly, meaning it has specialized services to meet the unique needs of ill or injured children. Additionally, we understand how important the parent-child relationship is, which is why 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.

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

  • Family-friendly environment
  • Pediatric medication management system enabling safer, faster dosing and administration

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 an urgent care but provides all the resources of an ER; so, if your emergency should become more serious, we can quickly get you the care you need or 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 for our FastTrack ER, which is open from 10:00am to 10:00pm every day.

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.

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 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

When you have an emergency, it can help to know what to expect at the ER and when you might need to come in. If you are having a medical emergency, call 911, but 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
Spotsylvania ER - Meet the Davis Family

Emergency care at HCA Virginia

Emergency care is the treatment of emergent medical conditions. It is generally performed in an emergency room, but can also refer to treatment in an ambulance. Emergency medicine physicians may treat patients with injuries or infections, in addition to life-threatening conditions.

Learn about Emergency care