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 2019

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.












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


RCH Grand Rounds - May 22, 2019

Apr 1, 2019

Online Evaluations

We would appreciate it if you would take time to follow each of the links below and complete an evaluation for each of the speakers.  Attendance will also be taken through the online evaluation form.

Congratulations to our first program graduates!

Aug 17, 2018

We are so proud of Dr. Jess Paul and Dr. Margaret Zhang who are the first graduates of the Fraser stream Emergency FRCPC program! After five years of hard work and dedication they have both successfully passed their Royal College licensing exams. We are look forward to having them both join us at RCH as staff Emergency Physicians.

We had a wonderful night celebrating both their achievements at Dr. Caroline Tyson's house!

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Learner Shift Schedule

Apr 12, 2018

Learn shifts can be viewed via a google spreadsheet document that is updated live. 

If you would like viewing access to this document please send an email request to


Feb 22, 2018

**NEW Publication**


Effects of Telestroke on Thrombolysis Times and Outcomes:  A Meta-analysis
Baratloo A, Rahimpour L, Abushouk A, Safari S, Lee C, Abdalvand A.  Prehospital Emergency Care.  2018 Jan 18 (e-publication).


Shift Start/End Times

Aug 10, 2017

Learners, the Google Calendar/schedule can be a little unclear when shifts cross the midnight hour.  To make the schedule more readable we record those shift times as 1 hour only.  So there is no confusion, all learner shifts are 8 hours.  Enjoy your rotation!

If you still have questions, email Kerrie Lewis at


Here is what our CEPA Group was up to at CAEP 2017

May 24, 2017

The Canadian Association of Emergency Physicians Conference, was held from June 3 - June 7, 2017 at the Whistler Conference Centre.  Here are some of the highlights from our group!  Way to go everyone.


Parking at RCH - Effective February 20, 2017

Feb 23, 2017

Starting February 20th, the Allen Street parking lot and the Allen Street Laneway parking spaces will be closed.

Staff can now park at the Braid Street lot and take the Shuttle to RCH (regular staff rates still apply).  More information can be found by clicking the attached PDF files.

A shuttle will run every 12 minutes.  This lot is walking distance to RCH if you prefer walking (~15 minutes).


ACLS Guidelines

Jan 27, 2016

In November 2015, the American Heart Association put out the new AHA Guidelines for CPR & ECC.

Here are some quick links you can follow to see the new recommendations: