Emergency Services at Twin County Regional Hospital

24 hours a day, 365 days a year

About the ED ]    [ Important Information ]    [ FAQs ]

About the Emergency Department

The Emergency Department at Twin County Regional Hospital provides care 24 hours a day, 7 days a week. It is staffed and equipped to provide emergency medical services for patients within the Carroll County, Grayson County, and Galax City areas, as well as other surrounding areas of Virginia.

With around-the-clock physician staffing, the ER is able to respond to medical and surgical emergencies and initiate life-saving procedures in all types of emergency situations. At the Twin County Regional Hospital Emergency Department, we believe in total patient and family care while providing excellent customer service-this is our goal for every patient visit.

Our staff of caring physicians and nurses are highly trained to provide competent, compassionate care even during the most critical situations. TCRH's Emergency Department has been serving patients since 1970, and we currently treat over 22,000 patients a year.

Patients who present to the ED arrive with varying levels of illness, from minor to critical. If a patient presents with a non-emergent condition, the nursing staff quickly triages the patient and determines treatment priority and placement within the Emergency Department.

Once the patient is placed in the treatment area, the Emergency Department M.D. evaluates the patient and determines an appropriate plan of care. If a patient presents with an acute emergency, is unstable, or has a life-threatening illness or injury, the patient is immediately placed in the treatment area.

A multidisciplinary team, led by the ED Physician, performs emergency evaluation, treatment, and stabilization of critical care patients until disposition. Radiology and Laboratory services are adjacent to the Emergency Department, allowing our patients immediate access to important diagnostic services.

Twin County Regional Hospital has a helipad for the convenience of flight transfers to and from the Emergency Department and works closely with the local Emergency Services.

Important Information:

Because it is often difficult to remember this information during stressful/fearful times, when coming to the Emergency Department, please bring with you:

  • A list of any medications (including over-the-counter medications) that are taking 
  • A list of drug and/or food allergies you may have 
  • A copy of your insurance card.

Even if you have been a patient in the hospital before, the admissions/registration staff will need a copy, each time you register as a patient.

It is a good idea to keep a current list of medications/allergies with you at all times.

Frequently Asked Questions:

What is Triage?

When you arrive in our Emergency Department, you will be "triaged." This is a term used to describe the process of sorting patients into groups according to the urgency of your complaint.

If more than one patient is waiting to be triaged, you will be triaged according to the urgency of your complaint. The nurse will do a timely, brief clinical assessment that will determine the urgency of your complaint and in what order the ED physician will need to see you.

Who will triage you?

You will be triaged by one of our Emergency Department Registered Nurses. Each of the triage nurses has at least one year of ED nursing experience, and has certifications in the following:

  • Basic Life Support (CPR) 
  • Advanced Cardiac Life Support 
  • Pediatric Advanced Life Support 
  • Trauma Nursing Core Curriculum 
  • Emergency Nurses Pediatric Course 

Who will take care of you in the Emergency Department?

Experienced Emergency Department nurses along with Board Certified physicians will take care of you while you are in the ED. It is our goal to provide you with comprehensive quality care in a timely manner.

How long will I have to wait?

Patients with more urgent problems must be seen first, no matter when they arrive. We do not see patients on a "first-come, first-serve" basis. If the ED is busy with patients who need immediate or urgent attention, the patients with less urgent problems may have to wait until those patients have been medically treated first.


24 hours a day, 365 days a year 

Emergency Services at Twin County Regional Hospital

Emergency Services

Twin County Regional Hospital
200 Hospital Drive Galax, VA 24333
Waiting Area: 276.236.1110