Royal Columbian Hospital and Eagle Ridge Hospital
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Royal Columbian Hospital is a fully modern 450 bed acute care hospital serving the communities of New Westminster, Coquitlam, Port Moody, and Port Coquitlam. It is the tertiary referral centre for the Lower Mainland east of the Vancouver city border. Because of its close proximity to the freeway and industrial area, this hospital has one of the busiest emergency departments in the Lower Mainland and sees approximately 60,000 emergency patients per year.



Eagle Ridge Hospital is a 90-bed hospital located in Port Moody B.C. It is part of the Fraser Health Authority and serves the rapidly growing TriCities area. Eagle Ridge Hospital has a busy emergency department with over 40,000 patient visits per year and is staffed with ~36 specialty trained emergency physicians. The same group of doctors work at the Royal Columbian Hospital about 2/3 of the time, and at Eagle Ridge 1/3 of the time.


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



CaRMS 2015

A big thank you to all of the wonderful candidates that took the time to interview with us this year for a spot in the Fraser Emergency Medicine Program!

We are very proud of our residency program and this video created by our current residents highlights just a few of the reasons why the Royal Columbian Hospital is an amazing place to work and train.

CaRMS 2015: UBC Fraser Emergency Medicine from Cimi Achiam on Vimeo.


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.



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


Donation to the Eagle Ridge Hospital Foundation

Dec 20, 2014






On November 26, 2014, our RCH/ERH physicians presented a cheque for $5,500 to the Eagle Ridge Hospital Foundation which Charlene and Karen graciously accepted.


UBC DEM Holiday Lunchen

Dec 20, 2014





Here is a great picture of the wonderful UBC DEM team including Dr. Caroline Tyson and Ms. Kerrie Lewis from the UBC DEM Residency Program - Fraser Site enjoying a wonderful lunch at The Sandbar on Granville Island.

Everyone had a great time! Thank you.


RCH Grand Rounds - March 25, 2015

Dec 20, 2014


You are welcome to join us for RCH Emergency Medicine Grand Rounds.

March's presentations include:

  • "Down the Tube:  Managing Caustic Ingestions"
  • "The Crashing PE Patient: Principles of Diagnosis and Management"
  • Drug-Induced Hyperthermia
  • Patient Satisfaction in the ER



FHA Study: Assessment of CTA Usage to Diagnose Pulmonary Embolism

May 22, 2014

Click on the link to generate code for CT requisition:

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.

Drug Overdoses at Local Electronic Dance Music Festivals

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. During a recent electronic dance music festival in Washington, a 21 year old man died and roughly 50 more were transported to local hospitals with heat related illnesses and possible drug overdoses. The temperature was roughly 35 degrees and approximately 25,000 spectators a day attended this two day event.


BC Emergency Departments Crisis!

Jun 12, 2013

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 the BC ER Doctors website for ways you can help keep our patients safe!