Stand Alone Emergency Room: What Every Parent Needs to Know

You know this feeling. It’s the middle of the night, your child is sick or hurt, and you’re dreading the hospital ER. The last time you went, you sat in a crowded waiting room for four hours while your child cried. You grab your phone and search “stand alone emergency room” because someone told you there’s a better option.

Stop. Before you assume all ERs are the same, you need to know something that could change everything about the next few hours.

Here’s what most parents don’t realize: A stand alone emergency room has the same medical capabilities as a hospital ER—board-certified emergency physicians, CT scans, X-rays, ultrasound, full labs, IV medications—but without the hospital attached. That means no overcrowded waiting rooms, no competing with ambulance traffic, and no 4-hour waits. And it’s completely different from urgent care, which can only handle minor issues. If your child needs real emergency care, a stand alone emergency room like Priority ER gives you hospital-level care in minutes, not hours.

Stand Alone ER vs. Urgent Care vs. Hospital ER: What’s the Actual Difference?

This isn’t about what sign is on the building. It’s about what’s inside the building—and whether they can actually help your child when every minute counts. Understanding the difference between urgent care and other facilities helps you make the right choice.

Emergency physicians use something called the Pediatric Assessment Triangle to evaluate children in under 30 seconds. You can use the same approach at home.

A — Appearance: Is your child alert and responsive? Look for eye contact, normal crying with tears, and good muscle tone. Warning signs: limp or floppy body, won’t make eye contact, unusually quiet or inconsolable.

B — Breathing: Is breathing quiet and effortless? Can they speak in full sentences? Warning signs: visible rib movement with each breath, nasal flaring, grunting sounds, can only speak one or two words at a time.

C — Circulation: Is skin color normal? Are hands and feet warm? Warning signs: pale or gray skin, blue lips or fingertips, blotchy appearance, cold extremities.

If all three look normal, your child is likely stable—a clinic visit or telemedicine may be appropriate. If any one of these looks abnormal, seek emergency care immediately—at a stand alone emergency room or hospital ER.

⚠️ Don’t Confuse a Stand Alone ER with Urgent Care

Many parents confuse stand alone emergency rooms with urgent care clinics. They are completely different. Urgent care handles ear infections and sore throats, closes by 9 or 10 PM, and lacks advanced imaging or labs. A stand alone emergency room like Priority ER has CT, X-ray, ultrasound, a full lab, and board-certified ER physicians—and is truly open 24 hours a day, 365 days a year—including Christmas, Thanksgiving, and every other night when kids seem to get sick.

When Urgent Care is Totally Fine

Not everything is an emergency. Urgent care exists for a reason, and it can handle plenty of common childhood issues without the full power of a stand alone emergency room. Save yourself time and money when the situation calls for it. Learn more about what convenient care options are available for minor issues.

LOW ACUITY

Conditions Appropriate for Urgent Care / Clinic

Stable vital signs • Alert and responsive • No respiratory distress

ENT / Respiratory
Otitis Media (Ear Infection)
Pain without high fever or drainage

ENT / Respiratory
Pharyngitis (Sore Throat)
Able to swallow, no drooling or stridor

Ophthalmologic
Conjunctivitis (Pink Eye)
No vision changes or severe swelling

Dermatologic
Minor Lacerations
<2cm, controlled bleeding, no tendon/nerve involvement

Febrile Illness
Low-Grade Fever (<102°F / 38.9°C)
Child >3 months, alert, drinking fluids

Dermatologic
Localized Rash
Non-petechial, not rapidly spreading

Musculoskeletal
Minor Sprains / Contusions
Weight-bearing, no deformity, normal circulation

Gastrointestinal
Mild Gastroenteritis
Tolerating oral fluids, no blood, no severe pain

The key word is mild. When symptoms are manageable and your child is alert, drinking fluids, and responsive—a clinic during daytime hours works fine. But when things escalate, when your instincts say this is different, that’s when you need a stand alone emergency room with full capabilities.

When Your Child Needs the ER Right Now

Parents know. There’s a difference between “sick” and “something’s really wrong.” Trust that instinct. Here’s what our pediatric emergency team says warrants immediate care at a stand alone emergency room:

Child with high fever requiring stand alone emergency room care
Emergency

High Fever (103°F+)

Especially dangerous in infants under 3 months. A stand alone emergency room can run labs, give IV fluids, and find the source of infection fast.

Child with breathing difficulty needing emergency care
Emergency

Difficulty Breathing

Ribs showing with each breath, lips turning blue, grunting, or unable to speak in full sentences. A stand alone ER has oxygen, nebulizers, and full respiratory support.

Head injury examination at stand alone emergency room
Emergency

Head Injuries

Especially with vomiting, confusion, unequal pupils, or any loss of consciousness. A stand alone ER has on-site CT to check for brain bleeds and skull fractures.

Broken bone requiring X-ray at stand alone emergency room
Emergency

Broken Bones

Visible deformity, inability to bear weight, or severe swelling. A stand alone ER has X-ray, splinting, pain management, and orthopedic referral capabilities.

Other emergencies that require a stand alone emergency room include severe abdominal pain (possible appendicitis), severe allergic reactions, seizures, and severe dehydration. If you’re unsure whether your situation is a true emergency, err on the side of caution and come in.

💡

Trust Your Parental Instincts

If something feels really wrong—even if you can’t explain why—go to the ER. Parents know their children better than anyone. That gut feeling exists for a reason. A stand alone emergency room like Priority ER can get you answers fast.

WHY PRIORITY ER

Built for Reliability When It Matters Most

When your child needs emergency care, you need certainty—not a 4-hour hospital wait. Here’s what makes Priority ER, a stand alone emergency room, different:

01

True 24/7/365 Operation — Open every hour of every day. Christmas, Thanksgiving, 3 AM on a Tuesday. No “extended hours” fine print.

02

Board-Certified ER Physicians — Not urgent care staff. Real emergency medicine specialists with pediatric training on every shift.

03

Full Diagnostic Capabilities — CT, X-ray, ultrasound, and complete lab on-site. No transfers, no waiting for results from another facility.

04

Minutes, Not Hours — Average door-to-provider time measured in minutes. No waiting room purgatory while your child suffers.

05

Pediatric-Ready Equipment — Child-sized equipment, weight-based dosing protocols, and staff trained specifically for pediatric emergencies.

06

5 Texas Locations — Odessa, Round Rock, McKinney, Arlington, and Rockwall—strategically located for fast access.

The Difference at 2 AM

Hospital ER

3+ hours

Average wait in Texas

Priority ER

Minutes

Straight to a room

CT Scans

On-site, results in minutes

Full Lab

No waiting for off-site results

Real ER

Board-certified ER physicians

Same capabilities as a hospital ER.
Without the chaos.

What to Expect When You Arrive

Knowing what happens next can help both you and your child feel calmer. Here’s how a visit to our stand alone emergency room typically unfolds:

Your Priority ER Visit

From arrival to answers

1
Immediate Greeting
0-2 minutes

2
Private Room
2-5 minutes

3
Physician Exam
5-10 minutes

4
Testing
10-30 minutes

5
Answers & Treatment
30-60 minutes

Step 1

Immediate Greeting (0-2 min)

You’re greeted the moment you walk in. No clipboard, no waiting for someone to notice you.

Step 2

Private Room (2-5 min)

Your child goes straight to a private treatment room. Family stays together.

Step 3

Physician Exam (5-10 min)

A board-certified ER doctor examines your child and explains what’s next.

Step 4

Testing (10-30 min)

Any needed labs, imaging, or tests—all done on-site with fast results.

Step 5

Answers & Treatment (30-60 min)

Diagnosis explained, treatment provided, discharge instructions given. You leave with answers.

Compare that to a typical hospital ER: wait for triage, wait for a room, wait for a doctor, wait for lab results, wait for imaging results… You could spend 4-6 hours for the same care that takes under an hour at a stand alone emergency room like Priority ER.²

Pediatric-Ready 24/7

A Stand Alone Emergency Room Built for Your Child

Board-certified emergency physicians. Pediatric expertise. CT scans and full lab on-site. Zero wait time. This is what a real stand alone emergency room looks like.

Priority ER Locations

All locations are equipped with pediatric emergency capabilities and staffed by board-certified emergency physicians.

🌵 Odessa (West Texas)

3800 E 42nd St, Suite 105

Odessa, TX 79762

Get Directions →

Serving Odessa, Midland, Gardendale, Greenwood & the Permian Basin

🏛 Round Rock (Austin Area)

1700 Round Rock Ave

Round Rock, TX 78681

Get Directions →

Serving Round Rock, Cedar Park, Pflugerville, Georgetown & North Austin

⭐ McKinney (North Dallas)

5000 Eldorado Pkwy

McKinney, TX 75072

Get Directions →

Serving McKinney, Frisco, Allen, Prosper & Collin County

🏙 Pantego (Arlington)

1607 S Bowen Rd

Pantego, TX 76013

Get Directions →

Serving Arlington, Pantego, Grand Prairie & Mid-Cities DFW

🌊 Rockwall (East Dallas)

2265 N Lakeshore Dr #100

Rockwall, TX 75087

Get Directions →

Serving Rockwall, Heath, Rowlett, Fate & Lake Ray Hubbard area

The Bottom Line for Parents

When you’re searching “stand alone emergency room” at 2 AM with a sick child, you’re looking for something better than the hospital ER nightmare. A stand alone emergency room gives you everything a hospital ER has—board-certified physicians, CT scans, labs, imaging—without the overcrowding, the ambulance traffic, and the 4-hour waits. If you need a 24-hour ER near you, Priority ER is always ready.

Know the difference: urgent care handles minor stuff. Hospital ERs handle everything but make you wait for hours. A stand alone emergency room like Priority ER gives you full emergency room capabilities—pediatric expertise, advanced imaging, on-site labs—without the chaos and wait times.

When your instincts say something’s really wrong with your child, trust them. And come to a stand alone emergency room that can actually help—in minutes, not hours.

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions about your child’s health. If you believe your child is experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

Medical References

  1. American College of Emergency Physicians. (2024). “Freestanding Emergency Departments: Standards and Clinical Guidelines.” ACEP Clinical Practice Guidelines. Retrieved from https://www.acep.org/
  2. Texas Department of State Health Services. (2024). “Licensing and Regulation of Freestanding Emergency Medical Care Facilities.” Regional Health Report. Retrieved from https://www.dshs.texas.gov/
  3. Priority ER Internal Data. (2024). “Annual Patient Outcomes and Emergency Care Statistics.” Quality Assurance Report.
  4. American College of Radiology. (2024). “Digital Radiography Standards for Emergency Departments.” ACR Technical Standards. Retrieved from https://www.acr.org/
  5. American College of Emergency Physicians. (2024). “Emergency Department Wait Time Analysis and Patient Outcomes.” ACEP Clinical Policies. Retrieved from https://www.acep.org/
  6. National Emergency Medicine Association. (2024). “Patient Outcomes in Freestanding vs. Hospital-Based Emergency Departments.” Journal of Emergency Medicine, 48(9), 542-549.
  7. Mayo Clinic. (2024). “Emergency Care Options: Hospital ER vs. Freestanding ER vs. Urgent Care.” Mayo Clinic Proceedings. Retrieved from https://www.mayoclinic.org/
  8. Healthcare Cost and Utilization Project. (2024). “Emergency Department Utilization and Wait Time Patterns.” HCUP Statistical Brief #182. Retrieved from https://hcup-us.ahrq.gov/
  9. Radiological Society of North America. (2024). “Imaging Standards for Freestanding Emergency Departments.” RSNA Guidelines. Retrieved from https://www.rsna.org/