Should You Visit the Emergency Department or Urgent Care?

Woman working with a patient at Alice Peck Day Express Care
Jennifer V. Pope, MD, in the Alice Peck Day Memorial Hospital's Emergency Department

Emergency department (ED) visits are up, and so are wait times.

A Moody’s report from April 2025 found that hospital ED visits had jumped 40 percent from five years earlier.

EDs in Vermont and New Hampshire have experienced similar increases in visits, resulting in longer wait times and fewer available beds. During periods of increased illness, such as flu season, the ED wait can be even longer.

If you want prompt attention for an illness or injury that is not life-threatening, consider express care that is tied to your hospital network, instead of visiting an ED or an urgent care center that is stand-alone.

When to skip your hospital’s emergency department

The general rule of thumb is to visit urgent or express care for non-life-threatening illnesses or injuries that need prompt attention. For life-threatening conditions like chest pain, broken bones, or a serious head injury, go to the closest ED.

If you need urgent help, call 9-1-1.

Situations where you might want to choose express or urgent care include:

  • You’ve fallen and your swelling ankle concerns you.
  • You have a sore throat that will not let up.
  • You are wondering if that cut needs more treatment than an antiseptic and a band-aid.

If your concern occurs during office hours, consider calling the office of your health provider first. For testing for COVID-19, try to do the test at home. A home test costs less and protects others as well.

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Urgent Visits vs. ED infographic

Why hospital-linked care is better for you

Most express or urgent care centers are designed for immediate, non-emergency, walk-in care. But when you visit a hospital-linked center, your attending medical provider will likely be able to consult your medical records and share what they find with your provider.

In contrast, non-hospital-affiliated urgent care centers are usually stand-alone and so do not integrate with your hospital records.

More on Dartmouth Health’s Walk-In Care Services

Dartmouth Health’s walk-in care centers are called urgent care, walk-in services, express care, or, in the case of New London Hospital, Express Care Plus.

Names vary based on the type of license.

For example, the newly rebranded Express Care Plus at New London Hospital is a type B emergency department. That means it treats non-life-threatening conditions and illnesses while also providing patients access to advanced services such as state-of-the-art imaging, on-site labs, and collaboration with the hospital’s medical specialists.

If you live in Vermont or New Hampshire, here are the Dartmouth Health centers near you.

Find your Emergency Department or Urgent Care near you

MemberEmergency DepartmentUrgent/Walk-In Care
Alice Peck Day Memorial HospitalEmergency ServicesExpress Care
Cheshire Medical CenterEmergency MedicineUrgent Primary Care Visit
Dartmouth Health Children'sPediatric Emergency MedicineAfter Hours/Urgent Care
Dartmouth Hitchcock Medical Center and ClinicsEmergency DepartmentUrgent Appointments
Littleton Regional HealthcareEmergency DepartmentUrgent Care
Mt. Ascutney Hospital and Health CenterEmergency MedicineWalk-in Services
New London HospitalEmergency DepartmentExpress Care Plus
Southwestern Vermont Medical CenterKendall Emergency DepartmentExpress Care
Valley Regional HospitalEmergency CareUrgent Care