Royal Columbian Hospital and Eagle Ridge Hospital
Banner home

Our hospital is one the busiest emergency departments in BC and in Canada. Our patient visits top 67,000 per year at the RCH site.

We have ~36 full-time specialty trained Emergency Physicians who work both at the Eagle Ridge and Royal Columbian Hospital.

CEPA Mission Statement & Values

Clinical excellence
To provide exceptional and comprehensive emergency care for all patients

To be accountable to each other and our patients

To encourage an environment that supports all facets of emergency medicine including, but not limited to, research, education, and teaching while promoting unity within the group.

To promote the evolution of emergency medicine as a specialty within all areas of the healthcare system and the community

To foster well-being in our patients, our colleagues and ourselves



A letter to the public from the Royal Columbian Hospital Emergency physicians.

The Problem, Consequences and Solution

The Problem

The Royal Columbian Hospital (RCH) Emergency Department (ED) has over 50 patient stretchers. However most of the ED stretchers are filled with admitted patients who deserve to be in hospital beds outside of the ED – this is hospital overcrowding. Because of this there few properly equipped areas available for incoming emergency patients. As a result, Emergency Physicians and Nurses have been forced to examine and provide care in inadequate and unsafe areas such as the waiting room, lobby, hallways. Examinations are delayed and incomplete. Medications are often delayed or not given due to lack of monitoring. There is no privacy for patients in the hallway. All of these problems are not because of a problem in the ED, but because the hospital is overcrowded, something that is not under the control of ED Staff. ....please click on the link to read the entire letter.



Hospital Overcrowding

Emergency department overcrowding, mortality and the 4-hour rule in Western Australia


Introduction of the 4-hour rule in Australia led to a reversal of overcrowding in three tertiary hospital EDs that coincided with a significant fall in the overall mortality rate in tertiary hospital data combined and in two of the three individual hospitals. ED overcrowding (as measured by 8-hour access block) at the tertiary hospitals improved dramatically, falling from above 40% in July 2009 to around 10% by early 2011, and presentations increased by 10%, while the mortality rate fell significantly (by 13%; 95% CI, 7%–18%; P < 0.001) from 1.12% to 0.98% between 2009–10 and 2010–11. Monthly mortality rates decreased significantly in two of the three tertiary hospitals concurrently with decreased access block and an increased proportion of patients admitted in under 4 hours.



New Members

We are proud to welcome 2 new physicians to the CEPA group as of July 1st. Welcome to the team: Dr. Ian Ricketson and Dr. Nathan Lim


The RCH Emergency Physicians were chosen to receive a Teaching Award - 2010-11 PGY-1 Year Drs Mike Mostrenko and Rory MacKay were awarded "Preceptor of the Year" awards by the PGY-1 Year Residents Dr. Joe Haegert was awarded the CCFP-EM Teacher of the Year Award. Dr. Adam Lund was nominated for the MUS Year 3 Undergrad Teaching Award.If anyone else was nominated or chosen for any awards, please let us know!

Shift Start Times

ERHE06 - 6am-2pm (8hr)E09 - 9am-4pm (*7hr) E13 - 1pm-8 pm (*7hr) E16 - 4pm-11pm (*7hr) E19 - 7pm -3 am (8 hr) E23 - 11pm-7am (8 hr)

RCH (all 8 hr shifts)R06 - 6am-2pm (Acute) R07 - 7am-3pm (ACR / MTU) R10 - 10am-6pm (ACR / MTU) R11 - 11am-7pm (Acute) R15a - 3pm-11pm (Acute) R15b - 3pm-11pm (ACR/MTU) R17 - 5pm-1am (ACR) R19 - 7pm-3am (Acute - ACR) R23 - 11pm-7am (Acute - ACR)



Editors Wanted!

We are looking for nurses and other ED Team members who would like to help us to contribute to the web site. We would like this site to be our own best resource for news, accessible from anywhere with Internet access (as opposed to the Intranet!). Contact Cimi and Adam at


FHA Study: Assessment of CTA Usage to Diagnose Pulmonary Embolism

May 22, 2014

Click on the link to generate code for CT requisition:

Group of Five Fundraiser

Mar 21, 2014

Generous Donations Boost ER Education

Sim Funding Photo

Nurse Initiated X-ray Orders

Nov 29, 2013

This is a prospective qualitative study examining the accuracy of the newly implemented nurse initiated x-ray orders for isolated extremity injuries presenting to Royal Columbian Hospital and Eagle Ridge Hospital Emergency Departments.

Academic Schedule for the UBC Dept of Emergency Medicine

Sep 13, 2013

Please click on the link to access the DEM Academic Rounds schedule for June 2014. PLEASE take a look at where the locations are & the start times for the sessions/rounds that you plan on attending, as we've made some changes and have added Royal Columbian to being a “host” site too.

Drug Overdoses at Electronic Dance Music Festivals - Dr. Adam Lund speaks with CKNW

Jul 3, 2013

On July 2, 2013, Dr. Adam Lund was interviewed on CKNW's Simi Sara Show to discuss "Molly" (a.k.a MDMA/X and the like) at music events.

BC Emergency Departments Crisis!

Jun 12, 2013

BC Emergency Departments Crisis!

Many emergency departments are understaffed because the government is not hiring enough emergency room physicians. Many are chronically severely overcrowded with patients that belong on hospital wards!

Please look at this website for ways you can help keep our patients safe!

Canadian Assessment of Tomography for Childhood Head Injury (CATCH)

Mar 12, 2013

This is a retrospective chart review aiming to determine the percentage of children presenting to community emergency departments in Canada with minor head injuries and the CT scan rate, as defined by the CATCH decision rule.

BC Sepsis Network Update - December 2012

Dec 14, 2012

The BC Sepsis Network is a province-wide collaborative initiative to improve the recognition and management of sepsis in British Columbia. Follow the link to learn more about our mandate and what is new in the management of sepsis!

Hypotensive Resuscitation in Patients with Hemorrhagic Shock After Trauma

Nov 14, 2012

The ROC team has initiated a new research project in the ED to determine the feasibility and safety of hypotensive resuscitation for the early resuscitation of patients with traumatic shock compared to standard fluid resuscitation.

Advanced Hazmat Life Support - SAVE THE DATES

Mar 11, 2012

I'm very excited to announce that AHLS is coming to BC (Advanced Hazmat Life Support - AHLS is a two-day provider course, and the most comprehensive training program to provide the critical skills needed to treat victims exposed to toxic substances. Working with DPIC (the Poison Control Center), BC Ambulance's CBRNE/Hazmat Program, and OHM Medical, we have managed to organize two leadership courses for 2012. We are pleased to announce that Dr. Frank Walter himself, the Founder of AHLS and a renowned Toxicologist from the States, will be coming up to offer both the Provider Course and the Instructor Courses on May 11-13 (Lower Mainland) and September 26-28 (Whistler; assoc with SPH Emergency Medicine Update Conference).