In the 1960s, Virginia became home to the first emergency department in the US.

Freestanding emergency departments are growing increasingly common

These satellite emergency rooms, though not yet approved in all states, are helping meet the need for emergency services beyond a hospital setting. But from an insurance perspective, they are considered emergency rooms—not urgent care. Freestanding emergency rooms grew tenfold from 2001 to 2016.

See Virginia's emergency stats broken down by date, type, and even body part

This dashboard from Virginia's health department provides a detailed look at various aspects of its emergency care services from January 2019 to December 2024, when there were more than 575,000 emergency incidents. More than 40% of its emergency services were devoted to slips and falls.

America's first trained EMT service was established in Pittsburgh's inner city

Watch this documentary about the Freedom House Ambulance Service—the foundation for all paramedic training in America. Founded in 1967, this emergency care force composed of Black men and women from Pittsburgh sought to respond to Pittsburgh's Black community emergencies when the Black community couldn't rely on the police and fire departments to consistently respond to their emergency calls.

The US had about 155.4 million emergency room visits in 2022

Of those emergency incidents, the largest share of patients were between the ages of 25 and 44 and were in the southern part of the US. More than 43 million of the visits involved injuries, including poisonings.

Explore a typical layout of an emergency department

This architectural diagram illustrates the layout of an emergency area. It provides insights into a typical emergency room organizational system to provide context for patients as they flow from entry through triage into treatment.

Rural emergency rooms are sometimes operating without any physicians on-site

These facilities may not have an on-site doctor at all, with norms varying widely by state. In North and South Dakota, more than half of their emergency departments were running without 24/7 attending physician staffing, according to recent research. Instead, they're staffed by physician assistants and nurses.

Urgent care is one step up from primary care

If a patient needs to see a provider today, urgent care can be a good solution. It has shorter wait times and a more affordable price tag than heading to the emergency room. Typically, an emergency department will have more specialists available for a serious and complicated issue, as well as advanced testing capabilities.

Hear the story of the first paramedic services, which grew out of a community training program in 1960s Pittsburgh.

Hospitals are required to care for emergency patients, even if they can't pay

A federal law called the Emergency Medical Treatment and Labor Act, which was passed in 1986, requires any Medicare-participating hospital with an emergency room to provide emergency medical care—including if the patient is in labor—until the patient is stable. That requirement applies regardless of the patient's ability to pay, insurance status, or, in some cases, immigration status.

Read what it's like working in emergency medicine

A board-certified emergency medicine physician working in the Bronx writes about what her workweeks look like and what attracted her to this fast-paced medical specialty, including being able to help suffering patients quickly, treating a wide range of ailments, and tending to disadvantaged communities.

Most US fire departments are staffed entirely by volunteers, though they tend to serve smaller communities

According to the Federal Emergency Management Agency's 2024 registry, 70% of US fire departments are all volunteer, while 9.5% are fully staffed with paid employees. Volunteer departments are mainly found in rural and suburban areas, whereas most urban Americans are served by career or mixed departments.

There may be a surplus of nearly 8,000 emergency room doctors by 2030

That was the 2021 prediction of the American College of Emergency Physicians, which led to a sudden steep decline in the field among medical students and residents. (Some users may encounter a paywall.)

There are more than a dozen types of different emergency medicine specialties

This video details medical subspecialties in emergency medicine, including medical toxicology, pediatric emergency medicine, undersea and hyperbaric medicine, hospice medicine, and more. It discusses where these types of specialists may work, including beyond a hospital setting.

See Virginia's spike in HFMD cases in 2025

The state's own tracking showed a significant jump in HFMD cases in July 2025 as compared to the prior few years, and that more people were visiting the emergency room and urgent care centers for the disease, but epidemiologists could not explain why the numbers were so high.

Concierge medicine officially began in 1996, with the first concierge practice

MD2 International, a concierge medical office that opened in Seattle, Washington, was founded based on the idea of unrushed, no-wait-time visits and personalized care offerings with strong relationships between patients and their providers.

University of Virginia has the nation's premier near-death studies department

Researcher Bruce Greyson has been studying this phenomenon at the University of Virginia for decades, where he now directs the Division of Perceptual Studies. This piece from the university’s magazine explores the breadth and substance of the department, founded by pioneer researcher Ian Stevenson.

Emergency room evaluations may be improved with AI algorithms

Emergency room care teams must make fast and crucial decisions. They must determine if patients need to be admitted or discharged and when to order more tests or not. Researchers have been exploring how often patients died in the week after they were sent home and evaluating how this and other aspects of emergency care decision-making could be improved with AI algorithms to assist decision-makers.

Explore what it's like Inside a patient isolation unit.

The Federal Emergency Management Agency leads the US response to disasters

Established in 1979, FEMA coordinates the government's response to hurricanes, wildfires, floods, and other disasters, providing funding, logistical support, and recovery assistance. In FY 2024, the agency spent $35.1B, nearly 40% of the Department of Homeland Security's total budget.

The modern large chain dollar store business model originated in the South

The first Dollar General store opened in Kentucky, the first Family Dollar in North Carolina, and the first Dollar Tree in Southern Virginia. To this day, dollar stores have more distribution centers in the South than anywhere else in the US.

Amazon's One Medical, MDVIP, and SignatureMD are examples of concierge practices

Annual fees for concierge practices can range widely. At the lower end, Amazon's One Medical costs $199 (which can drop to $99 if you're a Prime member) and four figures for MDVIP and SignatureMD. Annual fees jump to $10,000 or more for options like Massachusetts General Hospital's concierge practice.

Volunteer fire departments are declining as communities shift to career staff

As populations increase and emergency calls grow more complicated, many communities are replacing volunteer fire departments with full-time professional staff—a change that boosts response capacity and reliability but also significantly raises costs.

43% of Americans don't have savings to pay for a $1K emergency

That's according to data from January 2026 shared by US News. Among those who did have an emergency fund, the median balance was $5K.

Dozens of US women in labor turned away from hospital between 2022 and 2024

An Associated Press analysis of federal hospital investigation data concluded that more than 100 pregnant women in medical distress were turned away from emergency rooms or treated negligently since 2022.

In 1955, the first Dollar General store was opened in Kentucky

It was created by a father and son, Cal Turner Sr. and JL Turner. At the time, no item in the store cost more than one dollar, although that has since changed.

In 2013, American Express became the first credit card company to open an airport lounge

American Express opened its first airport lounge, the Centurion, in Las Vegas more than a decade ago. Since then, not only has American Express increased the number of lounges it has in airports across the country, but other credit card companies have also opened lounges.

Maryland required cholera researchers to fly a yellow warning flag—signifying quarantine dangers in the 1970s

University of Maryland Hospital researchers intentionally infected volunteers with the cholera bacterium in the late 1970s to further their understanding of the disease. They proceeded with this work following the recommendation of a US government panel. (Some users may encounter a paywall.)

Critics of concierge medicine argue it's worsening physician shortages and expanding inequity

Some research suggests that the average wait time for a primary care visit in major US cities can be 21 days. Subscription-based medical practices offer faster in-person and virtual appointment options, but the price barrier to this type of service may worsen inequity in healthcare access. (Some users may experience a paywall.)

Hospitals have been adding weapon detection systems to emergency rooms in response to violence

Healthcare workers are five times more likely to experience violence at work than employees in other industries, according to pre-pandemic federal data. Yet, despite growing awareness of these threats, fewer than one in three hospitals have installed metal detectors.

The oldest medical report of a near-death experience dates to around 1740

In 2014, Dr. Philippe Charlier, a medical doctor and archeologist, found a French medical book from 1740 that described the near-death experience of a pharmacist. Using the Greyson Scale, Charlier found that the incident would have rated at least 12/32, more than high enough to scientifically classify as an NDE by today’s standards.

By 2036, the US may face tens of thousands of primary care physician shortages

That's the estimate of the Association of American Medical Colleges, which contends that whenever physicians switch to concierge medical practices it exacerbates this projected shortage since each of those clinicians will see fewer patients and those patients must be able to afford that pricey care.

American Express debuted its first charge card in 1958 to give travelers access to cash abroad

The original American Express charge card was made of purple paperboard and allowed customers to book travel. Unlike credit cards, the card's balance had to be entirely paid off each month. When the card first launched, 250,000 customers used it, and 17,500 companies had agreed to accept it.

Look through this WWI stretcher bearer's bag

While it was indeed the first industrialized war, medical science had yet to catch up on the battlefield. This nearly eight-minute video sorts through the contents of a World War I stretcher-bearer's satchel. A modern doctor and ex-officer assesses the bag's various medical tools for performing first aid on the battlefield.

The first successful organ transplant was performed in 1954

The successful kidney transplant procedure, at what's now-called Brigham and and Women's Hospital, ushered in a new medical era and gave hope to patients with organ failure. The recipient, 23-year-old Richard Herrick, lived eight more years after receiving the donated organ from his living twin brother, Ronald.

The environmental crises of the late 1960s led to the founding of the EPA

Disasters such as the Cuyahoga River fire and the Santa Barbara oil spill prompted Congress and President Nixon to establish the Environmental Protection Agency in December 1970, with the goal of unifying federal efforts to control pollution.

Alexander Hamilton consolidated states' debts, implemented a tax system, and established a national bank

While the US was only 12 years old when Alexander Hamilton was tapped as the first secretary of the Treasury, it already owed almost $80M. With the country bringing in just $4.4M in taxes, that was not nearly enough to cover government operations and pay debts.

Experience a century of America's healthcare advances with this medical visualization, tracing a sampling of healthcare innovations from head to toe.

Concierge medicine offerings are growing on college campuses, catering to students

Parents are interested in concierge and direct primary care services for their kids, including offerings with dorm visits, guaranteed same-day appointments, and medication access, so new practices have sprung up catering to college settings. (Some users may encounter a paywall.)