Emergency room physicians at Surrey Memorial Hospital are sounding the alarm once again for what they call a  worsening crisis caused by severe staffing shortages, overcrowding and declining patient care.

In a letter to Fraser Health CEO Victoria Lee, who oversees health care in the region, the doctors blast hospital management and demand a change in leadership.

"Despite repeated and urgent attempts to alert you to the worsening conditions in our emergency department, we have received little resp…