Emergency Medicine
Monument Health Hospitals in Custer, Lead-Deadwood, Rapid City, Spearfish and Sturgis provide 24/7 emergency medical services.
All Emergency Departments treat injuries, illnesses that are immediately life-threatening and other emergent conditions of both adult and pediatric patients. Teams of doctors, registered nurses, advanced providers and other specially trained staff are available 24 hours a day, seven days a week to treat anyone seeking emergency medical care. Each year, Monument Health providers see more than 75,000 patients in the emergency care setting.
Rapid City Emergency Department
In addition to treating more common urgent or emergent medical conditions, the Department of Emergency Medicine at Rapid City provides Level 2 Trauma services, caring for patients with extremely severe injuries and serves as a referral center for people with traumatic injuries throughout Western South Dakota, Western Nebraska, Western North Dakota, Eastern Wyoming and Eastern Montana.
As the region’s only accredited stroke center, Rapid City Hospital’s award-winning Interventional Neurologists on the Stroke Care team are the area’s recognized leaders. The Heart and Vascular Institute is also the largest provider of full scale cardiovascular services in western South Dakota. These nationally-lauded services collaborate closely with the Emergency Department and are often the difference between life and death in emergent heart failure and stroke victims.
Emergency Services & Medical Campus
On June 10, 2026, the Emergency Services & Medical Campus at 1911 East Mall Drive opened to meet the community’s growing need for emergency care. Just off I-90 at Exit 60, across from the Toyota dealership, the standalone emergency facility is more convenient for the growing Rapid City community along the I-90 corridor.
Doctors from the Emergency Department at the Rapid City Hospital will be delivering the same high-quality care and caring experience at this new location — specializing in Emergency Medicine, Lab On-Demand, Laboratory Services and Medical Imaging. It is open 24 hours, 365 days a year for all.
Sturgis Emergency Department
The Sturgis Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital (CAH).
Sturgis Emergency Department is a proud participant in the American Heart Association’s Mission: Lifeline acute stroke and post-acute stroke projects. Our participation in the Mission: Lifeline Stroke initiative demonstrates our commitment to quality care. We are proud to be a part of the American Heart Association’s efforts to turn guidelines into lifelines.
In addition, the Sturgis Emergency Department provides access to other providers who specialize in emergency care via Telehealth.
Spearfish Emergency Department
The Spearfish Emergency Department is a South Dakota Department of Health Designated Community Trauma Hospital (CTH) open 24/7 and is fully equipped to care for patients of all ages in critical and urgent situations. With trauma-trained nurses and providers ready upon patient arrival, Spearfish ED evaluates, stabilizes and treats trauma patients with immediate ATLS-compliant care protocols and surgical resuscitation procedures prior to transfer (if required). We are also equipped with 24/7 laboratory services, medical imaging and respiratory therapy.
Backed by a Spearfish Hospital’s full range of services, including: Inpatient care, Labor and delivery, Intensive care and Surgical specialties, Spearfish ED is Staffed with experienced emergency medicine providers, including physicians and advanced practice providers, with increased staffing during high-volume midday hours. Immediate access to on-call specialists in General Surgery, Orthopedic Surgery and Obstetrics and Ear, Nose and Throat, ensures timely expert evaluation and intervention.
Lead-Deadwood Emergency Department
The Lead-Deadwood Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital.
Custer Emergency Department
The Custer Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital. Open 24/7, Custer ED offers outpatient infusion services for medication injections and infusions, 12-bed inpatient services, respiratory therapy, 24/7 Lab and Radiology and a doctor available 24/7.
Leading Rural Health Care
The Sturgis, Lead-Deadwood and Custer Emergency Departments are Critical Access Hospitals. CAH is a designation designed to improve access to healthcare by keeping essential services in rural communities. Eligible hospitals must be more than 35-miles away from the nearest hospital/CAH, maintain 25 inpatient or swing-beds and maintain 24-hour emergency care services 7 days a week.
The Sturgis, Lead-Deadwood and Custer Emergency Departments are Trauma Receiving Hospitals. South Dakota divides trauma hospitals into five groups: regional, area, community, receiving and non-trauma. A trauma receiving hospital must maintain 24/7 emergency department coverage by physician, physician assistant or nurse practitioner.
As a CTH, Spearfish Emergency offers 24/7 physician coverage and surgical coverage for all trauma team activations, with trauma transfers for when surgery is not available.
All emergency staff maintain certifications in:
• Advanced Trauma Life Support (ATLS) through the American College of Surgeons
• Trauma Nursing Core Course (TNCC) through the Emergency Nurses Association
• Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) through the American Heart Association
• Additional emergency care competencies and ongoing training
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