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Emergency care

Emergency care is the treatment of unexpected, severe medical injuries or infections. It is typically delivered in an emergency room or an ambulance. Our emergency medicine physicians stabilize your condition as quickly as possible to prepare you for the next step of care or discharge.

Emergency room in Niceville

Our ER specialists work together to provide expert emergency services to patients of all ages in one convenient location.

At HCA Florida Twin Cities Hospital, our emergency room (ER) doctors offer 24/7 care to patients in Niceville and Crestview. As a result of our commitment to delivering high-quality care, we received recognition from The Joint Commission as an Acute Stroke Ready Hospital. We are also recognized by Healthgrades for our dedication to patient safety.

Our emergency room features and services

Our ER team works around the clock to ensure you and your loved ones receive compassionate, comprehensive emergency care as quickly as possible.

Fast, collaborative emergency care

We designed our triage and treatment protocols to treat patients quickly while maintaining the highest levels of medical care. We communicate with our local emergency medical services teams directly to adequately prepare for our patients' arrivals. When patients reach our hospital, our board-certified physicians assess, diagnose and treat patients based on their individual needs.

Kid-friendly ER

We understand children have unique needs. We go the extra mile at our kid-friendly ER to ensure our youngest patients receive the bedside manner and care they deserved. Our board-certified emergency physicians, registered nurses and other qualified healthcare providers are specially trained to treat children and are available 24/7.

Advanced heart attack care

A heart attack occurs when blood is prevented from reaching the heart, usually due to a blood clot. If heart attack symptoms appear, it's important to seek immediate medical attention. Our ER offers 24/7 heart attack treatment and state-of-the-art cardiac monitoring and testing.

Expert stroke treatment

A stroke is a medical emergency where blood flow to the brain is either stopped or reduced, depriving brain tissue of oxygen. A stroke may cause a loss of brain function and affect movement and speech.

It's essential to act quickly when signs of stroke appear because fast treatment decreases the likelihood of stroke-related disability. As an Acute Stroke Ready Hospital, we are recognized for delivering high-quality stroke treatment when patients need it most.

Critical Care Unit

If a medical emergency requires critical care and an inpatient stay, we care for patients in our Critical Care Unit. Our team is made up of registered nurses who provide individualized care and medical management to patients 24 hours a day, seven days a week.

Our emergency room wait times

When it comes to emergency care, our goal is to continually work toward enhancing the care you receive, while reducing our wait times. This ensures you get the care you need, when you need it most.

Our wait times are updated every 30 minutes and are available on our website and digital screens on roadside billboards throughout the region.

To find out the wait times of the HCA Florida emergency room nearest to you, check the top of our website or text "ER" to 32222.

Note: Message and data rates may apply. Emergency room wait times are approximate and provided for informational purposes only.

When to go to the emergency room

Conditions that may require emergency care

We want you to feel secure about your choice for care, which is why we've created a list of symptoms that may indicate you need to visit the emergency room:

  • Back pain, when it is unbearable or accompanied by fever, numbness, weakness, confusion, slurred speech, vision loss or loss of control over bladder or bowels
  • Broken bones, when the pain is severe or there is a visible deformity
  • Chest pain, when it is crushing or squeezing and accompanied by other heart attack symptoms, such as shortness of breath or nausea
  • Concussion, when you have lost consciousness, even briefly, or experience amnesia, vomiting, slurred speech or a seizure
  • Flu, when symptoms become severe, such as having trouble breathing, vomiting uncontrollably or becoming dehydrated
  • Side pain, when it is severe and occurs in the lower right stomach, side or back or is accompanied by fever, nausea, diarrhea or blood in the urine
  • Stomach pain, when accompanied by a hard or tender stomach, nausea, shortness of breath, fever or irregular heartbeat
  • Trouble breathing, when breathing stops, is noisy or high-pitched and comes with pain in the chest or severe shortness of breath

If you are unsure if your symptoms require an emergency room visit, you can speak to a nurse 24/7 by calling our Consult-A-Nurse line.

What to expect at the emergency room

When you get to the emergency room, one of our triage nurses will assess your symptoms and vital signs. Next, a registration clerk will collect your insurance card (if available) and other information.

We medically screen, evaluate and stabilize all patients — whether or not they have insurance or are able to pay.

Anyone who has severe, life-threatening illnesses or injuries will be treated first. Everyone else will be treated in the order they arrive.

Before discharge, we encourage you to ask our emergency care teams any questions you have. It is also useful for you to keep all of your paperwork, discharge information and medicines or prescriptions together after you leave the emergency room.

What to bring to the emergency room

When coming to the emergency room, we recommend you bring:

  • A list of medicines you currently take
  • A list of known allergies
  • Copies of results from recent medical tests, if available
  • Personal care preferences and restrictions
  • A responsible adult or phone number for someone to contact

TCH Health Snippet — Stroke

Learn the symptoms of stroke and find out what to do if you or a family member are experiencing stroke like symptoms.

TCH ER Expansion Tour 2021

At Twin Cities Hospital, we are excited to announce our newly expanded ER is NOW OPEN! Our ER specialists work together to provide expert emergency care to patients of all ages in one convenient location. We're here 24/7 to serve you and your family.

The Healthy Living Blog

Fresh knowledge and insights in and around healthcare industry.

Not sure if you should visit the ER? Call our 24/7 Consult-A-Nurse® line  

December 28, 2023
Our Consult-A-Nurse® line is here to answer questions about what to do when facing illness or injury.

Nine things to expect during a trip to the emergency room 

December 13, 2023
Learn about the nine things you can expect during an emergency room visit.

Our Emergency care Locations

Currently Viewing:

Twin Cities Hospital
2190 Highway 85 N
Niceville, FL 32578
 (850) 678 - 4131

Currently Viewing:

Twin Cities Hospital
2190 Highway 85 N
Niceville, FL 32578
 (850) 678 - 4131
Fort Walton-Destin Hospital
1000 Mar Walt Dr
Fort Walton Beach, FL 32547
 (850) 862 - 1111

9.8 miles

Fort Walton-Destin Pediatric Emergency Room
1000 Mar Walt Dr
Fort Walton Beach, FL 32547
 (850) 863 - 7607

9.9 miles