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The Board of Trustees of Crook County Medical Service District seeks to appoint an interim trustee to fill a vacancy in an at-large position on the Board. The interim trustee will serve until a trustee is elected for the position in November 2026. The interim trustee must be a qualified elector residing in Crook County and must not be employed by Crook County Medical Services District. Interested individuals should contact the Chair of the Board, Sandy Neiman, at sneiman02@gmail.com.

Emergency and Trauma Services

If you or a loved one is experiencing a life-threatening injury or illness, don’t wait — call 911 immediately.

For nearly 90 years, Crook County Medical Services District (CCMSD) has proudly provided emergency medical and in-house ambulance services to the residents of Sundance, Wyoming, and surrounding areas, ensuring that each patient receives timely and effective care in their most critical moments.

In 2016, CCMSD was designated a Level IV Trauma Receiving Facility by the Wyoming Trauma Program within the Wyoming Department of Health. We’ve maintained that designation ever since — a reflection of our ongoing commitment to quality, responsive care that adapts to the changing needs of our community. Our facility is equipped to handle a range of trauma cases, supported by our skilled medical team and advanced technology.

Our Emergency and Trauma Services are designed to provide immediate care for critical situations, ensuring that every patient receives timely assistance. We understand that emergencies can be overwhelming, and our staff is trained to support you through the entire process, from arrival to treatment. We are dedicated to maintaining the highest standards in our Emergency and Trauma Services to support our community and enhance the quality of care, focusing on personalized treatment plans tailored to each patient's unique needs.

Our 16-bed facility is fully equipped and staffed to evaluate and treat a wide range of urgent health concerns, from minor injuries to life-threatening conditions. We are prepared to handle time-sensitive conditions with the speed, care, and professionalism you deserve, with our team constantly training and updating their skills to stay ahead in emergency care practices.

Understanding when to seek emergency care is crucial. Our team emphasizes the importance of recognizing symptoms that could indicate a serious health issue. In our facility, each case is treated with urgency and compassion, ensuring that everyone receives the best possible care.

You should seek emergency care if you experience:

  • Sudden Injuries
    (e.g., falls, car accidents, burns, head, neck, or spinal injuries)
  • Severe Allergic Reactions
  • Heart Attack Symptoms
    (chest pain, lightheadedness, discomfort in arm, jaw, neck, back, shortness of breath)
  • Stroke Symptoms (F.A.S.T.)
    Face drooping, Arm weakness, Speech difficulty, Time to call 911
  • Seizures
    Seizures can present in many ways — from dramatic physical symptoms to more subtle behavioral changes.
    • Common signs: involuntary shaking, unresponsive staring ("lights on, but no one home")
    • In Older Adults: sudden confusion, unexplained falls, or waking up disoriented
    • In Children: unusual movements (eye or head turning, flailing limbs), speech loss, repetitive behaviors (chewing, sucking), or physical signs like sweating and pupil changes
  • Sepsis Warning Signs
    Confusion, fever or chills, extreme pain, clammy skin, rapid heart rate
  • And other critical symptoms, including:
    • Choking
    • Difficulty breathing
    • Fainting or loss of consciousness
    • Heavy bleeding
    • Temporary vision loss
    • High fever that doesn’t respond to medication
    • Coughing or vomiting blood
    • Drug or alcohol overdose
    • Suicidal thoughts


What to Expect at CCMSD Emergency Department

Upon arrival, every patient is promptly evaluated by a trained nurse to quickly identify any life-threatening conditions. A full nursing assessment is performed before the provider begins treatment, ensuring that we understand the urgency of each situation. This initial evaluation helps in prioritizing care based on the severity of the patient's condition.

Our team includes:

  • Physicians
  • Nurse Practitioners
  • Nurses
  • Paramedics
  • Pathology Assistants

 All working together to provide compassionate, high-quality care.

We’re proud to be ranked #1 in patient satisfaction among Critical Access Hospitals in Wyoming — serving nearly 845 emergency patients from July 2017 to June 2018.

Designations by the Wyoming Office of Emergency Medical Services
CCMSD is designated by the Wyoming Office of Emergency Medical Services as both a Trauma Receiving Facility and a Pediatric Receiving Facility. We recognize the importance of treating our youngest patients with the utmost care and attention, and we strive to provide a safe environment for children in emergencies. Whenever possible, we aim to treat patients right here, close to home, creating a supportive space for recovery. If a higher level of care is needed, we coordinate a timely transfer for advanced treatment, ensuring continuity of care.