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Medical Services

Emergency Department

Phone: Emergency dial - 911
Lacation: Bldg 166
Office hours: 24 hours a day, 7 days a week

Important Phone Numbers:

EMERGENCY DIAL - 911 TRICARE INFORMATION LINE - (888) Triwest
   
CENTRAL APPOINTMENTS - (760) 380-3124 PATIENT REPRESENTATIVE - (760) 380-4876
MON, TUES, WEDS, FRI 0700-1600  
THURS 0700-1200  
   
11TH ACR AID STATION  
Bldg 295  
(760) 380-6628  
(760) 380-5448  


The Emergency Department serves a population of 16,000 and provides care for an average of more than 40 patients every day. Our goal is to offer the best medical care possible in a friendly, professional environment to every patient that comes to our department. Our staff is made up of civilian and military physicians, military and civilian Registered Nurses (RNs), and Medics (68W).

Triage

The way we determine who will be seen first is based upon the concept of triage. Triage is a French word meaning "to sort". When used medically, it means to see the sickest, or potentially sickest, patients first. This assumes that patients get the right care at the right time. In the Emergency Department, we use four triage levels:

  1. EMERGENT - Patients require immediate attention to prevent loss of life, limb, or eyesight. Examples would be CPR being performed, severe bleeding, or someone close to losing their airway.
  2. URGENT - Patients who have the risk to deteriorate into life-threatening conditions, such as loss of life, limb, or eyesight without timely care. An example of this would be an asthma attack, someone experiencing chest pain, certain pediatric conditions, or a severe bone fracture.
  3. NON-URGENT - Patients who develop an illness or injury over the past 24-48 hours or those that pose no threat to loss of life, limb, or eyesight. For example a school-aged child with a fever, a two-day old injury, or back pain for several weeks.

    Patients enrolled to a Primary Care Manager should use Sick-Call procedures (for Active Duty) or call central appointments at the Dr. Mary E. Walker Center (760) 380-3124 before coming to the Emergency Department. This will prevent an excessive wait and allow you to see your regular provider.

  4. Routine - Patients requesting medication refill, consults to other doctors, or other routine healthcare needs. Routine patients should follow the above procedures to prevent and excessive wait and allow you to see your regular provider.

When you do come into the Emergency Department for care you will first be logged in by a medical clerk or a Medic at our front desk. You will be screened, which includes your vital signs and a few simple questions about your condition. The Medic will then bring your chart to the RN in charge of the shift for that day. The RN will do an initial review of your information and assign you a triage level according to the reasons you came to the Emergency Department today, your past medical history, and your current physical condition.

The patients we see first are determined by the triage level assigned to a patient, NOT BY THE ORDER OF ARRIVAL in the Emergency Department. Critically ill patients (Emergent and Urgent) are often very time consuming and require extensive exams, test, treatments, and consultations, which may not allow the physician on duty to take car of other patients at the same time. This is why wait times in the Emergency Department can exceed 3-5 hours. We ask you for your understanding as we see our critical patients first.

Please know that we in the Emergency Department are committed to providing the highest quality care, we work quickly and as safely as we can to see all patients in a timely manner. We are all members of the same Fort Irwin community and partners in service to the Army and Nation.