Emergency and Trauma Services


Emergency Care at TCRHCC

Our skilled team specializes in delivering the highest level of care to children and adults in the region. As the only Level III Trauma Center on Navajo, Hopi, and San-Juan Paiute reservation, we offer specialized expertise in stroke, heart attack, trauma and pediatric critical care. TCRHCC has been verified by the American College of Surgeons as a Level III Trauma Center since 2016. We use advanced technology to help us stabilize and treat our patients. We have on-site CT scanners and all-digital X-rays so we’re able to respond to emergencies quickly and efficiently.


Emergency Department is staffed 24/7 and 365 days of the year with an Emergency Medicine residency trained Board Certified/Board Eligible Physician who have special training to care for the acutely injured/ill patient. All of our Advanced Practice Providers (PA/NP) have undergone specific training (ATLS) from ACS approved instructors to care for trauma patients under the direction of supervising physicians.

Level III Trauma Center

As a designated Level III Trauma Center, we are ready and open to provide care for acute traumatic injuries. The designation is from the American College of Surgeons.

The trauma team includes medical specialists such as emergency medicine, trauma surgery, anesthesia, orthopedics, radiology, pharmacy, and respiratory therapists.

The trauma team receives continuing education to stay up to date on the latest trauma care procedures and practices. TCRHCC has a dedicated operating room and a specially designed intensive care unit for complex cases.

When to Go to the Emergency Department

  • Seek emergency care for serious injuries or illness when the following situations occur:
  • Severe abdominal pain or severe vomiting
  • Moderate to severe burns
  • Chest pain, heart attack, chest pressure
  • Confusion, unusual behavior or trouble speaking
  • Difficulty breathing or choking
  • Heat exhaustion
  • Hypothermia
  • Loss of consciousness
  • Poisoning or overdose
  • Severe allergic reaction
  • Stroke, sudden weakness or inability to walk, talk, see or move
  • Suicidal thoughts
  • Trauma injuries to the head, neck or back
  • Uncontrollable bleeding or fractures
  • Unexplained seizures or convulsions


If you or someone you know is having a medical emergency, don’t wait. Call 911 or go to the nearest emergency department if you have:

What to Expect at the Emergency Department

We care for all patients who come to the emergency department.
When you arrive a triage nurse will examine you, review your symptoms and ask about your medical history. We will ask for your name, date of birth, contact information and the name of your primary care provider. Patients with the most serious injuries or illnesses are seen first. The length of your visit depends on your condition and tests needed. If your symptoms are not severe, you may choose to visit the Urgent Care instead.

Your visit involves several stages:

Triage: We check you in, create your medical record and review your symptoms. A nurse measures your heart rate, breathing and blood pressure. We then move you to a treatment area.

Evaluation: Your doctor and nurse coordinate your care, deliver a diagnosis and plan treatment. To determine a diagnosis, your doctor may order blood tests, urine tests or imaging studies, such as an X-ray or MRI. After reviewing test results and explaining a diagnosis, your doctor recommends a treatment plan.

Registration: A member of the registration team visits you in the treatment area to confirm your address, primary care doctor, and insurance and pharmacy information.

Treatment: Your care team provides treatment and answers any questions you may have.

Discharge: When it’s time for you to go home, our team gives you detailed discharge instructions. We coordinate follow-up care and send prescription medications to the pharmacy of your choice. We also send information about your ED visit to your primary care physician.

Visitor Policy: Usually, you may have one or two visitors at a time. But in some cases, staff may not allow visitors for your safety. Please ask your visitors to follow instructions and cooperate with our staff.

After Discharge: After you return home, a nurse may call to check on your health.

When should you go to urgent care? 

When you have a minor injury or illness but can’t get in to see a doctor, visit Urgent Care facility for fast care. If you have a minor injury or illness, such as flu or a sprain, you may not need emergency attention. At Urgent Care, our team provides same-day visits for a wide range of non-life-threatening medical issues.

Helicopter Emergency Services

When a serious life threatening injury or illness happens, and the services require more advanced medical services or equipment, TCRHCC transports patients by helicopter to Level I or II hospitals in the area, such as Flagstaff Medical Center (Level I), or hospitals in Phoenix and elsewhere.

TCRHCC is serviced by many air EMS companies however Guardian Air (owned by NAH in Flagstaff) typically has a helicopter based here and is usually our first choice.16