24/7 Emergency room in Chesterfield County, Virginia

When you need emergency care, you want to know you are getting the best care as quickly as possible. The specialists in Johnston-Willis Hospital's ER are prepared to handle any medical emergency, any time of day.

If someone is experiencing a medical emergency, please call 911 immediately. If you are unsure if your symptoms require an ER visit, you may speak to a registered nurse 24/7 by calling (804) 320-3627.

ER symptom checker

You need the right care at the right place. Sometimes it is hard to know if you should seek emergency care, urgent care or schedule an appointment with your provider. To help you determine the best solution for you, we have provided the following guidelines. You should visit an ER if you experience the following conditions:

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 ER physicians are board certified in emergency medicine and provide care for all ages. We make each emergency visit as quick and comfortable as possible, and we offer a FastTrack ER for minor illnesses and injuries.

Our ER serves the Southside, Midlothian and surrounding areas and offers:

Visit our website or text 'ER' to 32222 to find out the HCA ER wait times closest to you (message and data rates apply). ER wait times are approximate and provided for informational purposes only. If you are having a medical emergency, call 911.

Pediatric emergency care

When your child needs emergency medical attention, we offer the pediatric expertise he or she needs in a compassionate environment. The pediatric-friendly ER at Johnston-Willis is designed to comfort and care for your child. Our team understands you play an important role in your child's health and treatment, so we keep you informed every step of the way.

Our pediatric-friendly ER features:

  • Physicians and nurses with special training and expertise in pediatric care
  • Pediatric medication management system that allows us to improve the speed, accuracy and administration of medications, reduce medical errors and standardize pediatric medication dosing
  • Family-friendly environment
  • Complimentary valet parking so you and your child can go directly to the ER

Senior-friendly ER

We are the only emergency room in Chesterfield County with geriatric-specific protocols, so we're qualified to handle a wide variety of geriatric emergencies.

Our senior-friendly ER features the following:

  • Streamlined triage process
  • Rooms for seniors with safety rails, step stools, and overbed tables.
  • Hearing amplifiers
  • Magnifiers for small print & reading glasses
  • Large digital clocks
  • White boards with large writing to communicate the custom plan of care.
  • One-on-one help with the electronic medical record and scheduling follow-up appointments.
  • Special attention to discharge planning.
  • Senior sensitivity training for all senior-dedicated staff.
  • Discharge transportation service available upon request.

FastTrack ER

Similar to an urgent care center, our FastTrack ER is for patients 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. FastTrack ER is open daily from 11am - 11pm and is closed Saturdays. The Johnston-Willis ER is open 24 hours a day.