Locally, the ED operates and administers: 
Pegasus 
Chest Pain Center
Blue Ridge Poison Center
SANE (Sexual Assault Nurse Examiners) team 

The University of Virginia Prehospital program, which provides medical direction to rescue squads and training to EMT-Basics, Shock Trauma Technicians, Cardiac Technicians and Paramedics in Central Virginia and throughout the state, is also administered by Emergency Medicine. 

ED physicians and residents are active volunteers in the local and surrounding communities. The ED nurses have developed a program called "Trauma Nurses Talk Tough," which is an educational program focused on prevention of trauma in youth. Pegasus also participates in "Prom Promise" programs with the local high school to promote responsible behavior against drinking and driving, at prom and graduation time. The biggest outreach effort the ED participates in is RAM. 

Internationally, ED physicians have visited countries to access their medical needs and provide medical care. One example is Dr. Theresa Schlager who has spent time in Honduras and visited Los Esteros de Indios community. This clinic supports 5,000 people in the surrounding villages. 

Another major program the ED has implemented is S.L.C Guatemala. The director is Dr. David Burt. This program sends medical school students, residents and physicians to Guatemala to provide service while learning Spanish and about the Guatemalan culture. 

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