Emergency room in Derry, New Hampshire

Parkland Medical Center's top priority is making sure you get the compassionate care and comfort you need quickly. Our ER offers:

  • 24/7 full-service emergency care
  • Access to our Level III Trauma Center
  • An Accredited Chest Pain Center
  • Dedicated Certified Emergency Nurses (CENs)
  • Free Wi-Fi
  • Intensive care services
  • Pediatric emergency services
  • Sexual assault nurse examiners (SANE)
  • Joint Commission Certified Primary Stroke Center
If you or someone you know is experiencing an emergency, call 911.

Heart attack treatment

A heart attack, or lack of blood supply to the heart, can be fatal if not treated promptly. Call 911 if you recognize the symptoms of a heart attack in yourself or a loved one.

Stroke treatment

A stroke is a sudden loss of blood supply to the brain. This is a life-threatening condition, and quick stroke treatment is vital to minimizing neurological damage. If you recognize the symptoms of a stroke in yourself or a loved one, call 911 immediately.

Pediatric emergency care

We understand that nothing is quite as stressful as when your child needs emergency care. The doctors and nurses at Parkland’s pediatric-ready ER are trained to care for children and address their unique needs. We also understand the role you play in your child’s health and prioritize your involvement in developing a treatment plan.

If your child is experiencing an emergency, call 911 immediately.

Our pediatric-friendly ER features:

  • Board-certified emergency medicine physicians who are trained in both adults and children
  • Nurses with special training and certification in pediatric care
  • A pediatric medication management system that allows us to improve the speed, accuracy and administration of medications, reduce medical errors and standardize pediatric medication dosing
  • Advanced technology designed for children and young adults

What to expect at our ER

We make each emergency visit as quick and comfortable as possible, and we also offer urgent care in Salem, New Hampshire, for less serious illnesses and injuries.

When you get to Parkland's ER, you’ll go through these steps:

  • A triage nurse will ask you about your symptoms and take some vital signs.
  • A registration clerk will get information for your medical records and insurance.
  • You'll be medically screened, evaluated and stabilized regardless of your insurance or ability to pay.

Patients with life-threatening illnesses or injuries are treated first, followed by seriously ill or unstable patients. All others are seen in the order they arrived.

To check wait times for the HCA Healthcare ER closest to you, text “ER” to 32222 (message and data rates may apply).

Bring these items with you to the ER:

  • Care preferences or restrictions
  • Copies of results from any recent medical tests
  • List of known medical allergies
  • List of medicines you take or the actual medicines
  • List of recent medical procedures
  • Emergency contact phone numbers

Before you go home, you’re encouraged to ask any questions about your care. Keep all your paperwork, discharge instructions and medicines. Contact your primary care provider after you visit our ER, or ask us about finding a primary care provider for you. We’ll give your primary physician a copy of your ER visit summary.

When to go to the ER

To learn whether your symptoms require an ER visit, our nurses are available 24/7. Call (877) 642-2362.

The following symptom checker will help you decide if you should get immediate ER care or make an appointment with your primary care doctor.

Head pain

Go to the ER if a sudden headache prevents you from performing daily tasks, is debilitating or is accompanied by these symptoms:

  • High fever
  • Difficulty walking
  • Neurological symptoms (weakness, numbing, slurred speech or blurred vision)

Individuals with certain medical conditions may also be at serious risk. Visit the ER immediately with head pain if:

  • Your headache started immediately after a head injury
  • You're taking blood thinners
  • You experienced a recent head injury or trauma

Severe stomach pain

Seek emergency medical attention if your stomach pain is accompanied by any of these symptoms:

  • Dark or black stool
  • High fever
  • Inability to eat
  • Irregular heartbeat
  • Pain in your chest, neck or shoulder
  • Persistent nausea or vomiting
  • Shortness of breath or dizziness
  • Stomach is hard and/or tender to the touch
  • Vomit contains blood

Trouble breathing

Respiratory distress can be common, but you should seek emergency care if you experience trouble breathing and any of these signs of a serious problem:

  • Breathing stops
  • Severe shortness of breath that affects your ability to function
  • Noisy, high-pitched, rapid wheezing
  • Coughing up blood
  • Inability to speak comfortably and sustain your voice while at rest
  • Breathing difficulties when you lie flat
  • Breathlessness that doesn’t stop after 30 minutes of rest
  • Back or arm pain
  • Pain or tightness in the chest
  • Extreme fatigue
  • Swelling in your feet and ankles
  • High fever, chills and cough

Chest pain

Call 911 if you have crushing or squeezing chest pain accompanied by any of these symptoms:

  • Sweating
  • Shortness of breath
  • Nausea or vomiting
  • Pain that spreads from the chest to the neck, jaw or arms
  • Lightheadedness
  • Fast or irregular pulse
  • Signs of shock

Women should check for these additional signs of a heart attack and call 911 if they're present:

  • Unusual fatigue
  • Shortness of breath
  • Nausea or vomiting
  • Dizziness or lightheadedness
  • Discomfort in your gut
  • Discomfort in the neck, shoulder or upper back


If you hit your head and have any of these symptoms, go to the ER:

  • Loss of consciousness, even briefly
  • Any period of amnesia or loss of memory of the injury
  • Slurred speech
  • Feeling dazed or confused
  • Worsening or severe headache
  • Vomiting
  • Seizure

Side pain

Seek immediate care if you have severe side pain, especially in your lower right stomach, side or back, or if you’re experiencing side pain and any of the following symptoms:

  • Fever
  • Dizziness
  • Persistent nausea or vomiting
  • Constipation
  • Diarrhea
  • Blood in the urine or pain during urination
  • Severe pain that lasts for more than a few minutes