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 2017

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


Shift Start/End Times

Aug 10, 2017

Staff & Learners - Note that new shift times will be starting as of September 1st.

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.


*NEW* Parking Changes 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).



Jan 31, 2017

**NEW Publication**

Mortality at Music Festivals: Academic and Grey Literature for Case Finding
Turris SA, Lund A.  Mortality at Music Festivals: Academic and Grey Literature for Case Finding.  Prehosp Disaster Med. 2017;32(1):58-63.  PMID: 27928974.  doi: 10.1017/S1049023X16001205.

Residency Fun!

May 9, 2016

CaRMS Videos 2017

More CaRMS videos can be found at the bottom of this page

Fraser's Video

Kelowna's Video

Vancouver's Video

Victoria's Video

UBC's Video



Clinical Teacher of the Year Award | 2015 - 2016

May 6, 2016

On April 27th during the RCH EM Grand Rounds session Dr. Nicolle Holm (R4) and Dr. Wesley Jang (R4) played one of the best games of 20 Questions that we have heard in quite a while.  Their questions had the audience guessing and almost crying with laughter.  They definitely made sure we were all listening.  Then finally, they made the big reveal and presented on behalf of the group of residents,
Dr. Tom Green with this year's Clinical Teacher of the Year Award.  

The Clinical Teacher of the Year Award is given to someone who has made an outstanding contribution to the emergency medicine residency program or the betterment of our EM residents.  Important qualities include leadership skills, effective teaching, contagious enthusiasm, innovation and role modelling.
Here is the award presentation  complete with the 20 questions describing what a great role model and inspiration Dr. Green is and what makes him the type of physician we, one day hope to become.  

Thank you Dr. Green!

Herb Parkin Award - 1st Annual (2016)

May 6, 2016

We are very pleased to announce Dr. Anthony Bryson (R2) as our first annual winner of the Herb Parkin Award.  Anthony designed and taught the curriculum for pre-hospital ultrasound for BC Ambulance Critical Care Paramedics.  Currently the paramedics are being assessed for image acquisition, with the goal to have them use their skills to further advance pre-hospital care in British Columbia.

Here is a link so you can watch the video  of Dr. Caroline Tyson presenting the winner.

Clinical Faculty Award for Career Excellence in Clinical Teaching 2016

May 3, 2016

We are delighted to inform everyone that...  Dr. Barry Miller has won the 2016 Clinical Faculty Award for Career Excellence in Clinical Teaching

Dr. Miller has been a member of the Royal Columbian Physician group since 1981, teaching for UBC for 34 years.  The Emergency Medicine group at Royal Columbian and Eagle Ridge Hospitals has a long and proud teaching history, and Dr. Miller has always been a core member of the team.  Over his career, he has literally taught thousands of medical students and residents, so back in early January of 2016 our group decided to nominate Dr. Miller for this award because we sincerely believed that he had contributed a tremendous amount to furthering the education of British Columbia’s doctors, and he has certainly been a superb influence on and example to its current educators.  The nomination process was definitely a trip down memory lane and we enjoyed the memories so much that we actually turned it into a specially bound booklet and presented it to Dr. Miller during his retirement party with room for signatures and well wishes at the back.


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: