24/7 Emergency Room in Irving, TX
Car crash, fall, or workplace injury? Imaging, bleeding control and stabilization start immediately, with direct transfer coordination when surgery is needed.
Trauma is the leading cause of death for Americans under 45, and the first hour after a serious injury decides more than any other. Rapid evaluation and stabilization in that window is what trauma care is built around.
Texas classifies trauma facilities into four levels under Health and Safety Code Chapter 254. Our role in that system is honest and specific: we are the fast entry point for assessment, imaging, bleeding control and stabilization in this part of North Texas.
Most everyday injuries finish here. Injuries that need operative surgery or ICU care are stabilized first, then transferred directly to a Level I or II trauma center with the workup already done.
Medically reviewed by the ER of Irving Medical Team | Updated: July 2026

The first two mean call 911 and do not move the person. For the rest, come straight in while someone else drives.
Any loss of consciousness after a crash or fall is a 911 call. Do not move them.
Blood that spurts or will not stop with direct pressure. Press hard and call 911.
Severe neck or back pain after impact needs spinal precautions. Keep the person still.
Blunt chest impact can bruise the heart or collapse a lung. Get checked today.
Internal bleeding can hide behind a seatbelt bruise. Same-day imaging settles it.
A limb that looks wrong, will not bear weight, or has bone visible.
Loss of feeling or strength in any limb after an injury points to nerve involvement.
After any head impact, a building headache or repeated vomiting needs a CT scan.
Trauma care follows the same disciplined survey everywhere in the world. Ours starts at the door.
Airway, breathing, circulation, neuro status and full exposure, with spine precautions until cleared.
CT from head to pelvis, X-rays for fractures, and bedside ultrasound for internal bleeding.
Bleeding control, deep laceration repair, tetanus update, fracture splinting and IV pain relief.
Most injuries finish here. Operative trauma is stabilized and moved to a Level I or II center.

Three corridors send us most of our crash patients: Hwy 114 and 183 through Las Colinas with their high-speed merges, the stop-and-go chain collisions on I-635, and the fast stretches of SH 161. Falls in older adults and Las Colinas worksite injuries round out the list. Our guide on whether to go to the ER after a car accident covers the delayed symptoms to watch for.
Recovery is planned before you leave: orthopedic follow-up within a week for a fracture, concussion clearance for any head injury, and blood clot prevention guidance for anyone immobilized afterward.
You also leave with documentation: a complete ER record that supports your insurance or legal claim, plus a mental health check-in, because post-crash stress is real and treatable.
After a crash, adrenaline is a bad advisor. Here is the honest split.
Unconsciousness, uncontrolled bleeding, possible spine injury, a rollover or ejection, or a struck pedestrian or cyclist. Do not move them.
Alert and stable with a suspected break, a deep cut, chest or belly pain after impact, or a head hit with symptoms. Someone else drives.
Adrenaline masks pain for hours, and whiplash and internal bleeding declare themselves over 24 to 48 hours. A same-day exam creates the baseline that protects you.
Yes. Texas freestanding emergency facilities are licensed for initial trauma assessment, imaging, bleeding control, fracture stabilization and resuscitation. For most everyday crashes the entire workup finishes here. When operative surgery is needed, we stabilize first and transfer with the imaging already done.
Texas auto policies often include MedPay or Personal Injury Protection that covers medical bills regardless of fault, and the federal No Surprises Act protects you from balance billing for emergency care. Bring your auto policy details and we can discuss coverage on arrival.
Often, yes. Whiplash, contusions and even internal bleeding can take 24 to 48 hours to show themselves, and adrenaline masks pain in the first hours. A same-day evaluation creates a documented baseline that protects both your health and any later claim.
Yes. Pediatric trauma is evaluated with age-appropriate tools and equipment sized for children. When subspecialty pediatric trauma surgery is required, we coordinate direct transfer to Children’s Health Dallas or Cook Children’s in Fort Worth.
Recovery is mapped before discharge: orthopedic follow-up for fractures, a concussion-clearance protocol for head injuries, physical therapy referrals for soft-tissue damage, blood clot prevention guidance if you will be immobilized, and a copy of your record for insurance.
Emergency care is protected. Under the federal No Surprises Act and Texas Department of Insurance balance-billing rules, patients are shielded from surprise balance bills for emergency treatment. We post all required Texas disclosures and can discuss costs with you on arrival.
Imaging, stabilization and straight answers after any injury. Call 911 when it is serious. Walk in 24/7 for everything else.