clock DODGE RAM 2003 Service Manual PDF

NOTE: Position the right side camshaft so that the
camshaft sprocket dowel is near the 10 o'clock
position, This will place the camshaft at the neutral
position easing the installation of the camshaft
bearing caps.
(2) Position the camshaft into the cylinder head.
(3) Install the camshaft bearing caps, hand tighten
the retaining bolts.
(4) Working in 1/2 turn increments, tighten the
bearing cap retaining bolts starting with the middle
cap working outward (Fig. 35).
(5) Torque the camshaft bearing cap retaining
bolts to 11 N´m (100 in. lbs.).
(6) Position the camshaft drive gear into the tim-
ing chain aligning the V8 mark between the two
marked chain links (Two links marked during
removal) (Fig. 36).
NOTE: When gripping the camshaft, place the pliers
on the tube portion of the camshaft only. Do not
grip the lobes or the sprocket areas.
(7) Using the adjustable pliers, rotate the cam-
shaft until the camshaft sprocket dowel is aligned
with the slot in the camshaft sprocket. Install the
sprocket onto the camshaft (Fig. 37).CAUTION: Remove excess oil from camshaft
sprocket bolt. Failure to do so can cause bolt over-
torque resulting in bolt failure.
(8) Remove excess oil from camshaft sprocket bolt,
then install the camshaft sprocket retaining bolt and
hand tighten.
(9) Remove timing chain wedge special tool 8350
(Fig. 32).
(10) Using Special Tool 6958 spanner wrench with
adapter pins 8346 (Fig. 38), torque the camshaft
sprocket retaining bolt to 122 N´m (90 ft. lbs.).
(11) Install the camshaft position sensor (Fig. 33).
(12) Install the cylinder head cover (Refer to 9 -
ENGINE/CYLINDER HEAD/CYLINDER HEAD
COVER(S) - INSTALLATION).
Fig. 34 Camshaft Sprocket and Chain
1 - ADJUSTABLE PLIERS
2 - SPROCKET BOLT
3 - CAMSHAFT SPROCKET AND CHAIN
4 - CAMSHAFTFig. 35 Camshaft Bearing Caps Tightening
Sequence
DRENGINE - 4.7L 9 - 119
CAMSHAFT(S) - RIGHT (Continued)

NOTE: It may be necessary to tap the top of the
valve spring to loosen the spring retainers locks
enough to be removed.
(4) Remove the two spring retainer lock halves.
NOTE: the valve spring is under tension use care
when releasing the valve spring compressor.
(5) Remove the valve spring compressor.
(6) Remove the spring retainer, and the spring.
NOTE: Check for sharp edges on the keeper
grooves. Remove any burrs from the valve stem
before removing the valve from the cylinder head.
(7) Remove the valve from the cylinder head.
NOTE: The valve stem seals are common between
intake and exhaust.
(8) Remove the valve stem seal. Mark the valve for
proper installation.
TESTING VALVE SPRINGS
NOTE: Whenever the valves are removed from the
cylinder head it is recommended that the valve
springs be inspected and tested for reuse.
Inspect the valve springs for physical signs of wear
or damage. Turn table of tool C-647 until surface is
in line with the 40.12 mm (1.579 in.) mark on the
threaded stud and the zero mark on the front. Place
spring over the stud on the table and lift compress-
ing lever to set tone device. Pull on torque wrench
until Ping is heard. Take reading on torque wrench
at this instant. Multiply this reading by two. This
will give the spring load at test length. Fractional
measurements are indicated on the table for finer
adjustments. Refer to Specifications Section to obtain
specified height and allowable tensions. Replace any
springs that do not meet specifications (Fig. 42).
INSTALLATION
(1) coat the valve stem with clean engine oil and
insert it into the cylinder head.
(2) Install the valve stem seal. make sure the seal
is fully seated and that the garter spring at the top
of the seal is intact.
(3) Install the spring and the spring retainer (Fig.
43).
(4) Using the valve spring compressor, compress
the spring and install the two valve spring retainer
halves.
(5) Release the valve spring compressor and make
sure the two spring retainer halves and the spring
retainer are fully seated.(6) lubricate the camshaft journal with clean
engine oil then Position the camshaft (with the
sprocket dowel on the left camshaft at 11 o'clock and
the right camshaft at 12 o'clock), then position the
camshaft bearing caps.
Fig. 42 Testing Valve Springs
1 - SPECIAL TOOL C-647
Fig. 43 Valve Assembly Configuration
1 - VALVE LOCKS (3±BEAD)
2 - RETAINER
3 - VALVE STEM OIL SEAL
4 - INTAKE VALVE
5 - EXHAUST VALVE
6 - VALVE SPRING
DRENGINE - 4.7L 9 - 123
INTAKE/EXHAUST VALVES & SEATS (Continued)

Inspect engine oil level approximately every 800
kilometers (500 miles). Unless the engine has exhib-
ited loss of oil pressure, run the engine for about five
minutes before checking oil level. Checking engine oil
level on a cold engine is not accurate.
To ensure proper lubrication of an engine, the
engine oil must be maintained at an acceptable level.
The acceptable levels are indicated between the ADD
and SAFE marks on the engine oil dipstick.
(1) Position vehicle on level surface.
(2) With engine OFF, allow approximately ten min-
utes for oil to settle to bottom of crankcase, remove
engine oil dipstick.
(3) Wipe dipstick clean.
(4) Install dipstick and verify it is seated in the
tube.
(5) Remove dipstick, with handle held above the
tip, take oil level reading.
(6) Add oil only if level is below the ADD mark on
dipstick.
ENGINE OIL CHANGE
Change engine oil at mileage and time intervals
described in Maintenance Schedules.
Run engine until achieving normal operating tem-
perature.
(1) Position the vehicle on a level surface and turn
engine off.
(2) Hoist and support vehicle on safety stands.
(3) Remove oil fill cap.(4) Place a suitable drain pan under crankcase
drain.
(5) Remove drain plug from crankcase and allow
oil to drain into pan. Inspect drain plug threads for
stretching or other damage. Replace drain plug if
damaged.
(6) Install drain plug in crankcase.
(7) Lower vehicle and fill crankcase with specified
type and amount of engine oil described in this sec-
tion.
(8) Install oil fill cap.
(9) Start engine and inspect for leaks.
(10) Stop engine and inspect oil level.
USED ENGINE OIL DISPOSAL
Care should be exercised when disposing used
engine oil after it has been drained from a vehicle
engine. Refer to the WARNING at beginning of this
section.
OIL FILTER
REMOVAL
All engines are equipped with a high quality full-
flow, disposable type oil filter. DaimlerChrysler Cor-
poration recommends a Mopartor equivalent oil
filter be used.
(1) Position a drain pan under the oil filter.
(2) Using a suitable oil filter wrench loosen filter.
(3) Rotate the oil filter counterclockwise (Fig. 97)to
remove it from the cylinder block oil filter boss.
Fig. 96 ENGINE OIL DIPSTICK 4.7L ENGINE
1 - TRANSMISSION DIPSTICK
2 - ENGINE OIL DIPSTICK
3 - ENGINE OIL FILL CAP
Fig. 97 Oil Filter - 4.7L Engine
1 - ENGINE OIL FILTER
9 - 152 ENGINE - 4.7LDR
OIL (Continued)

directly from the thirty tooth sprocket on the idler
sprocket assembly. A fixed chain guide and a hydrau-
lic oil damped tensioner are used to maintain tension
in each secondary chain system. The hydraulic ten-
sioners for the secondary chain systems are fed pres-
surized oil from oil reservoir pockets in the block.
Each tensioner also has a mechanical ratchet system
that limits chain slack if the tensioner piston bleeds
down after engine shut down. The tensioner arms
and guides also utilize nylon wear faces for low fric-
tion and long wear. The secondary timing chains
receive lubrication from a small orifice in the ten-
sioners. This orifice is protected from clogging by a
fine mesh screen which is located on the back of the
hydraulic tensioners.
STANDARD PROCEDURE
STANDARD PROCEDUREÐMEASURING
TIMING CHAIN WEAR
NOTE: This procedure must be performed with the
timing chain cover removed.
(1) Remove the timing chain cover. (Refer to 9 -
ENGINE/VALVE TIMING/TIMING BELT / CHAIN
COVER(S) - REMOVAL).
(2) To determine if the secondary timing chains
are worn, rotate the engine clockwise until maximum
tensioner piston extension is obtained. Measure the
distance between the secondary timing chain ten-
sioner housing and the step ledge on the piston (Fig.
115). The measurement at point (A) must be less
than 15mm (0.5906 inches).
(3) If the measurement exceeds the specification
the secondary timing chains are worn and require
replacement. (Refer to 9 - ENGINE/VALVE TIMING/
TIMING BELT/CHAIN AND SPROCKETS -
REMOVAL).
NOTE: If the secondary chains are to be replaced
the primary chain must also be replaced.
STANDARD PROCEDURE - ENGINE TIMING -
VERIFICATION
CAUTION: The 4.7L is a non free-wheeling design
engine. Therefore, correct engine timing is critical.
NOTE: Components referred to as left hand or right
hand are as viewed from the drivers position inside
the vehicle.
NOTE: The blue link plates on the chains and the
dots on the camshaft drive sprockets may not line
up during the timing verification procedure. The
blue link plates are lined up with the sprocket dots
only when re-timing the complete timing drive.
Once the timing drive is rotated blue link-to-dot
alignment is no longer valid.
Fig. 115 Measuring Secondary Timing Chains For
Wear
1 - SECONDARY TENSIONER ARM
2 - SECONDARY CHAIN TENSIONER PISTON
DRENGINE - 4.7L 9 - 165
VALVE TIMING (Continued)

Engine base timing can be verified by the following
procedure:
(1) Remove the cylinder head covers (Refer to 9 -
ENGINE/CYLINDER HEAD/CYLINDER HEAD
COVER(S) - REMOVAL).
(2) Using a mirror, locate the TDC arrow on the
front cover (Fig. 116). Rotate the crankshaft until the
mark on the crankshaft damper is aligned with the
TDC arrow on the front cover. The engine is now at
TDC.
(3) Note the location of the V8 mark stamped into
the camshaft drive gears (Fig. 117). If the V8 mark
on each camshaft drive gear is at the twelve o'clock
position, the engine is at TDC (cylinder #1) on the
exhaust stroke. If the V8 mark on each gear is at the
six o'clock position, the engine is at TDC (cylinder
#1) on the compression stroke.
(4) If both of the camshaft drive gears are off in
the same or opposite directions, the primary chain or
both secondary chains are at fault. Refer to Timing
Chain and Sprockets procedure in this section.
(5) If only one of the camshaft drive gears is off
and the other is correct, the problem is confined to
one secondary chain. Refer to Single camshaft tim-
ing, in this procedure.
(6) If both camshaft drive gear V8 marks are at
the twelve o'clock or the six o' clock position the
engine base timing is correct. Reinstall the cylinder
head covers.
Fig. 116 Engine Top Dead Center (TDC) Indicator
Mark
1 - TIMING CHAIN COVER
2 - CRANKSHAFT TIMING MARKS
Fig. 117 Camshaft Sprocket V8 Marks
1 - LEFT CYLINDER HEAD2 - RIGHT CYLINDER HEAD
9 - 166 ENGINE - 4.7LDR
VALVE TIMING (Continued)

(8) Remove the generator (Refer to 8 - ELECTRI-
CAL/CHARGING/GENERATOR - REMOVAL).
(9) Remove A/C compressor (Refer to 24 - HEAT-
ING & AIR CONDITIONING/PLUMBING/A/C COM-
PRESSOR - REMOVAL).
(10) Remove cover and gasket (Fig. 123).
INSTALLATION
(1) Clean timing chain cover and block surface.
Inspect cover gasket and replace as necessary.
(2) Install cover and gasket. Tighten fasteners in
sequence as shown in (Fig. 123) to 54 N´m (40 ft.
lbs.).
(3) Install the A/C compressor (Refer to 24 - HEAT-
ING & AIR CONDITIONING/PLUMBING/A/C COM-
PRESSOR - INSTALLATION).
(4) Install the generator (Refer to 8 - ELECTRI-
CAL/CHARGING/GENERATOR - INSTALLATION).
(5) Install crankshaft damper (Refer to 9 -
ENGINE/ENGINE BLOCK/VIBRATION DAMPER -
INSTALLATION).
(6) Install accessory drive belt tensioner assembly
(Refer to 7 - COOLING/ACCESSORY DRIVE/BELT
TENSIONERS - INSTALLATION).
(7) Install radiator lower hose.
(8) Install both heater hoses.
(9) Install radiator shroud and viscous fan drive
assembly (Refer to 7 - COOLING/ENGINE/FAN
DRIVE VISCOUS CLUTCH - INSTALLATION).
(10) Fill cooling system (Refer to 7 - COOLING -
STANDARD PROCEDURE).
(11) Connect the battery negative cable.
TIMING BELT/CHAIN AND
SPROCKETS
REMOVAL
(1) Disconnect negative cable from battery.
(2) Drain cooling system (Refer to 7 - COOLING -
STANDARD PROCEDURE).
(3) Remove right and left cylinder head covers
(Refer to 9 - ENGINE/CYLINDER HEAD/CYLIN-
DER HEAD COVER(S) - REMOVAL).
(4) Remove radiator fan shroud.
(5) Rotate engine until timing mark on crankshaft
damper aligns with TDC mark on timing chain cover
(Fig. 124) (#1 cylinder exhaust stroke) and the cam-
shaft sprocket ªV8º marks are at the 12 o'clock posi-
tion (Fig. 125).
(6) Remove power steering pump (Refer to 19 -
STEERING/PUMP - REMOVAL).
(7) Remove access plugs (2) from left and right cyl-
inder heads for access to chain guide fasteners (Fig.
126).
(8) Remove the oil fill housing to gain access to the
right side tensioner arm fastener.
(9) Remove crankshaft damper (Refer to 9 -
ENGINE/ENGINE BLOCK/VIBRATION DAMPER -
REMOVAL) and timing chain cover (Refer to 9 -
ENGINE/VALVE TIMING/TIMING BELT / CHAIN
COVER(S) - REMOVAL).
Fig. 123 Timing Chain Cover Fasteners
Fig. 124 Engine Top Dead Center (TDC) Indicator
Mark
1 - TIMING CHAIN COVER
2 - CRANKSHAFT TIMING MARKS
DRENGINE - 4.7L 9 - 169
TIMING BELT / CHAIN COVER(S) (Continued)

CAUTION: Do not forcefully rotate the camshafts or
crankshaft independently of each other. Damaging
intake valve to piston contact will occur. Ensure
negative battery cable is disconnected to guard
against accidental starter engagement.
(13) Remove left and right camshaft sprocket bolts.
(14) While holding the left camshaft steel tube
with adjustable pliers, (Fig. 129) remove the left
camshaft sprocket. Slowly rotate the camshaft
approximately 15 degrees clockwise to a neutral posi-
tion.
(15) While holding the right camshaft steel tube
with adjustable pliers, (Fig. 130) remove the right
camshaft sprocket. Slowly rotate the camshaft
approximately 45 degrees counterclockwise to a neu-
tral position.
(16) Remove idler sprocket assembly bolt.
(17) Slide the idler sprocket assembly and crank
sprocket forward simultaneously to remove the pri-
mary and secondary chains.
(18) Remove both pivoting tensioner arms and
chain guides.
(19) Remove chain tensioner.
INSPECTION
Inspect the following components:²Sprockets for excessive tooth wear. Some tooth
markings are normal and not a cause for sprocket
replacement.
Fig. 128 Camshaft Position SensorÐRemoval
1 - CRANKSHAFT POSITION SENSOR
2 - CYLINDER HEAD COVER
3 - CAMSHAFT POSITION SENSOR
4 - RIGHT SIDE CYLINDER BLOCKFig. 129 Camshaft RotationÐLeft Side
1 - CAMSHAFT SPROCKET AND CHAIN
2 - ADJUSTABLE PLIERS
3 - CAMSHAFT
Fig. 130 Camshaft RotationÐRight Side
1 - ADJUSTABLE PLIERS
2 - CAMSHAFT DOWEL
DRENGINE - 4.7L 9 - 171
TIMING BELT/CHAIN AND SPROCKETS (Continued)

NOTE: The silver bolts retain the guides to the cyl-
inder heads and the black bolts retain the guides to
the engine block.
(4) Install the left side chain guide. Tighten the
bolts to 28 N´m (250 in. lbs.).
CAUTION: Overtightening the tensioner arm torxT
bolt can cause severe damage to the cylinder head.
Tighten torxTbolt to specified torque only.
(5) Install left side chain tensioner arm. Apply
MopartLock N, Seal to torxtbolt, tighten bolt to 17
N´m (150 in. lbs.).
(6) Install the right side chain guide. Tighten the
bolts to 28 N´m (250 in. lbs.).
(7) Install both secondary chains onto the idler
sprocket. Align two plated links on the secondary
chains to be visible through the two lower openings
on the idler sprocket (4 o'clock and 8 o'clock). Once
the secondary timing chains are installed, position
special tool 8515 to hold chains in place for installa-
tion (Fig. 133).
(8) Align primary chain double plated links with
the timing mark at 12 o'clock on the idler sprocket.
Align the primary chain single plated link with the
timing mark at 6 o'clock on the crankshaft sprocket
(Fig. 131).(9) Lubricate idler shaft and bushings with clean
engine oil.
(10) Install all chains, crankshaft sprocket, and
idler sprocket as an assembly (Fig. 134). After guid-
ing both secondary chains through the block and cyl-
inder head openings, affix chains with a elastic strap
or the equivalent, This will maintain tension on
chains to aid in installation.
NOTE: It will be necessary to slightly rotate cam-
shafts for sprocket installation.
(11) Align left camshaft sprocket ªLº dot to plated
link on chain.
(12) Align right camshaft sprocket ªRº dot to
plated link on chain.
CAUTION: Remove excess oil from the camshaft
sprocket bolt. Failure to do so can result in over-
torque of bolt resulting in bolt failure.
(13) Remove Special Tool 8515, then attach both
sprockets to camshafts. Remove excess oil from bolts,
then Install sprocket bolts, but do not tighten at this
time.
(14) Verify that all plated links are aligned with
the marks on all sprockets and the ªV8º marks on
camshaft sprockets are at the 12 o'clock position (Fig.
131).
Fig. 132 Resetting Secondary Chain Tensioners
1 - VISE
2 - INSERT LOCK PIN
3 - RATCHET PAWL
4 - RATCHET
5 - PISTON
Fig. 133 Installing Secondary Timing Chains on
Idler Sprocket
1 - LOCK ARM
2 - RIGHT CAMSHAFT CHAIN
3 - SECONDARY CHAINS RETAINING PINS (4)
4 - IDLER SPROCKET
5 - LEFT CAMSHAFT CHAIN
6 - SPECIAL TOOL 8515
DRENGINE - 4.7L 9 - 173
TIMING BELT/CHAIN AND SPROCKETS (Continued)

CAUTION: Ensure the plate between the left sec-
ondary chain tensioner and block is correctly
installed.
(15) Install both secondary chain tensioners.
Tighten bolts to 28 N´m (250 in. lbs.).
NOTE: Left and right secondary chain tensioners
are not common.
(16) Before installing idler sprocket bolt, lubricate
washer with oil, and tighten idler sprocket assembly
retaining bolt to 34 N´m (25 ft. lbs.).
(17) Remove all locking pins (3) from tensioners.
CAUTION: After pulling locking pins out of each
tensioner, DO NOT manually extend the tensioner(s)
ratchet. Doing so will over tension the chains,
resulting in noise and/or high timing chain loads.
(18) Using Special Tool 6958, Spanner with Adap-
tor Pins 8346, tighten left (Fig. 135) and right (Fig.
136). camshaft sprocket bolts to 122 N´m (90 ft. lbs.).
(19) Rotate engine two full revolutions. Verify tim-
ing marks are at the follow locations:
²primary chain idler sprocket dot is at 12 o'clock
(Fig. 131)
²primary chain crankshaft sprocket dot is at 6
o'clock (Fig. 131)
²secondary chain camshaft sprockets ªV8º marks
are at 12 o'clock (Fig. 131)
(20) Lubricate all three chains with engine oil.(21) After installing all chains, it is recommended
that the idler gear end play be checked (Fig. 137).
The end play must be within 0.10±0.25 mm (0.004±
0.010 in.). If not within specification, the idler gear
must be replaced.
(22) Install timing chain cover (Refer to 9 -
ENGINE/VALVE TIMING/TIMING BELT / CHAIN
COVER(S) - INSTALLATION) and crankshaft
damper (Refer to 9 - ENGINE/ENGINE BLOCK/VI-
BRATION DAMPER - INSTALLATION).
(23) Install cylinder head covers (Refer to 9 -
ENGINE/CYLINDER HEAD/CYLINDER HEAD
COVER(S) - INSTALLATION).
NOTE: Before installing threaded plug in right cylin-
der head, the plug must be coated with sealant to
prevent leaks.
(24) Coat the large threaded access plug with
MopartThread Sealant with Teflon, then install
into the right cylinder head and tighten to 81 N´m
(60 ft. lbs.) (Fig. 126).
Fig. 134 Installing Idler Gear, Primary and
Secondary Timing Chains
1 - SPECIAL TOOL 8429
2 - PRIMARY CHAIN IDLER SPROCKET
3 - CRANKSHAFT SPROCKET
Fig. 135 Tightening Left Side Camshaft Sprocket
Bolt
1 - TORQUE WRENCH
2 - CAMSHAFT SPROCKET
3 - LEFT CYLINDER HEAD
4 - SPECIAL TOOL 6958 SPANNER WITH ADAPTER PINS 8346
9 - 174 ENGINE - 4.7LDR
TIMING BELT/CHAIN AND SPROCKETS (Continued)

poration recommends a Mopartor equivalent oil
filter be used.
(1) Position a drain pan under the oil filter.
(2) Using a suitable oil filter wrench loosen filter.
(3) Rotate the oil filter counterclockwise to remove
it from the cylinder block oil filter boss.
(4) When filter separates from cylinder block oil
filter boss, tip gasket end upward to minimize oil
spill. Remove filter from vehicle.
NOTE: Make sure filter gasket was removed with fil-
ter.
(5) With a wiping cloth, clean the gasket sealing
surface of oil and grime.
INSTALLATION
(1) Lightly lubricate oil filter gasket with engine
oil.
(2) Thread filter onto adapter nipple. When gasket
makes contact with sealing surface, (Fig. 27) hand
tighten filter one half turn, or 180É,do not over
tighten.
(3) Add oil, verify crankcase oil level and start
engine. Inspect for oil leaks.
OIL PAN
REMOVAL
(1) Disconnect the negative battery cable.
(2) Install engine support fixture special tool #
8534.Do not raise engine at this time.
(3) Loosen both left and right side engine mount
through bolts. Do not remove bolts.
(4) Remove the structural dust cover, if equipped.
(5) Drain engine oil.
(6) Remove the front crossmember(Refer to 13 -
FRAME & BUMPERS/FRAME/FRONT CROSS-
MEMBER - REMOVAL).CAUTION: Only raise the engine enough to provide
clearance for oil pan removal. Check for proper
clearance at fan shroud to fan and cowl to intake
manifold.
(7) Raise engine using special tool # 8534 to pro-
vide clearance to remove oil pan.
NOTE: Do not pry on oil pan or oil pan gasket. Gas-
ket is integral to engine windage tray and does not
come out with oil pan.
(8) Remove the oil pan mounting bolts and oil pan.
NOTE: The double ended oil pan studs must be
installed in the same location that they were
removed from.
(9) Unbolt oil pump pickup tube and remove tube.
(10) Inspect the integral windage tray and gasket
and replace as needed.
INSTALLATION
(1) Clean the oil pan gasket mating surface of the
block and oil pan.
(2) Inspect the integral windage tray and gasket
and replace as needed.
(3) Reinstall the oil pump pickup tube with new
o-ring. Tighten tube to pump fasteners to 28 N´m
(250 in. lbs.).
NOTE: The double ended oil pan studs must be
installed in the same location that they were
removed from.
(4) Position the oil pan and install the mounting
bolts and studs.. Tighten the mounting bolts to 12
N´m (105 in.lbs.).
(5) Lower the engine into mounts using special
tool # 8534.
(6) Install both the left and right side engine
mount through bolts. Tighten the nuts to 68 N´m (50
ft. lbs.).
(7) Remove special tool # 8534.
(8) Install structural dust cover, if equipped.
(9) Install the front crossmember(Refer to 13 -
FRAME & BUMPERS/FRAME/FRONT CROSS-
MEMBER - INSTALLATION).
(10) Fill engine oil.
(11) Reconnect the negative battery cable.
(12) Start engine and check for leaks.
Fig. 27 Oil Filter Sealing Surface - Typical
1 - SEALING SURFACE
2 - RUBBER GASKET
3 - OIL FILTER
DRENGINE - 5.7L 9 - 217
OIL FILTER (Continued)