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Our Services


Emergency DepartmentEmergency Room

When you've been injured in an accident or are experiencing pain or symptoms that require immediate medical attention, SRMC's emergency services are here 24 hours a day, 365 days a year. Our staff of highly-trained providers and nurses are ready to provide high-quality emergency care quickly and efficiently.

The SRMC Emergency Room is a department of the critical access hospital. It is equipped with a triage room, 4 treatment rooms, trauma room including 24-hour radiology and laboratory services. the SRMC ER can receive a variety of emergencies ranging from a cut requiring stitches to conditions requiring surgical intervention.

Upon arrival to the ER, the patient's condition will be evaluated to determine the severity and extent of injuries/illness. Those patients with life-threatening injuries, illnesses, or conditions will be treated immediately. Depending on the severity of the injury, a transfer may be required.

During triage, nurses will assess the patient's medical condition to determine what treatment is required. Waiting periods can occur, so please remain calm and cooperative with medical staff.
Upon arrival, the patient will be asked to provide general demographic information and sign a "consent to treat" form.

Emergency Department Testing: The ER is able to run a variety of tests including X-rays, EKGs, blood tests, and many other diagnostic tests.

When to visit the ER

- Trouble breathing
- Passing out or fainting
- Pain in the arm or jaw
- Unusual or bad headache, (suddenly started)
- Suddenly unable to speak/see/walk/move
- Suddenly weak/drooping on one side of body
- Dizziness or weakness that doesn’t go away
- Inhaled smoke or poisonous fumes
- Sudden confusion
- Heavy bleeding
- Broken bone if bone pushing through skin
- Deep wound
- Serious burn
- Coughing or throwing up blood
- Severe pain anywhere on body
- Severe allergic reaction 
- High fever w/ headache & stiff neck
- High fever that doesn’t get better with medicine
- Throwing up or loose stools that don’t stop
- Poisoning or overdose of drug or alcohol
- Suicidal thoughts
- Seizures


When to visit the Walk-in Clinic

- Minor injuries or illnesses
- Ear infection
- Minor burns
- Fever or flu-like symptoms
- Sprains & strains

- Allergic reactions (non-life threatening)
- Coughs
- Rash or other skin irritations
- Colds
- Mild asthma

- Sore throats
- Animal bites
- Sinus infection
- Broken bones


When to visit the Physicians Clinic

- Annual wellness/physical exam
- Chronic conditions requiring regular visits
- Follow-up visits
- Minor aches and pains
- Minor illnesses, coughs, sore throats

- Prescription refills
- Minor burns
- Sinus infection
- Ear infection
- Fever or flu-like symptoms

- Allergic reactions (non-life threatening)
- Rash or other skin irritations
- Mild asthma
- Animal bites
​- Broken bones


 * A visit to the Physicians Clinic requires a scheduled appointment and does not guarantee your primary care provider is available

Our Staff

SRMC Emergency Department is staffed 24 hours by a team of certified physician assistants and registered nurses. A physician on call serves as the consulting physician.

    Fran Barnes, PA-C                           Heather Hanna, FNP                   Jody Pfeifer, PA-C                        Yohanes Tot, PA-C                  Nathan Strasser , PA-C           Dr. April Smith, Hospitalist 


Some conditions warrant a specialty physician or service SRMC may not offer.  In those situations, our providers will coordinate a transfer to a hospital that offers those services.  Patients may transfer by ground or air ambulance depending on the severity of illness and availability of the transfer service.

EMS services include Regional West Medical Center's Ambulance Service based in Sidney, NE. Air ambulance services provided by Regional West Medical Center's Air Link and Medical Center of the Rockies Air Link.

SRMC transfers to the following locations depending on the conditions:

          Regional West Medical Center, Scottsbluff, NE,

          Medical Center of the Rockies, Loveland, CO,

          Cheyenne Regional Medical Center, Cheyenne, WY,

          Cheyenne VA Medical Center, Cheyenne WY,

          Children's Hospital Colorado, Aurora, CO,