Emergency Care

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.

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.

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

It was a 450-square-foot basement room with four stretchers staffed by four doctors inside Alexandria Hospital, in Alexandria, Virginia. Patients there were charged $5 per visit. The first emergency medicine residency followed in 1970, in Cincinnati.

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.

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.

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.

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.

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.

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.)

States are creating legislation to try to better protect their healthcare workers

State lawmakers and hospitals are scrambling to protect the nurses, doctors, and other healthcare workers that are increasingly experiencing workplace violence. Dozens of states have passed laws or are working on bills that aim to curb hospital and clinic violence by requiring detailed violence prevention plans from employers, increasing legal penalties for those who attack healthcare workers, or taking steps like requiring hospitals to have a law enforcement officer—not just a security officer—on-site.