Dr. Daniel William Tome

Dr. Daniel Tome is experienced in assessing and managing a wide array of acute medical and surgical emergencies, including (but not limited to):

Acute Cardiovascular Conditions

Dr. Tome manages related to urgent cardiac or vascular issues, such as acute chest pain, suspected heart attacks, severe arrhythmias, and hypertensive crises.

• Cardiac Arrhythmias (e.g., Atrial Fibrillation with Rapid Response, Ventricular Tachycardia): Identifying and treating potential underlying causes or triggers of acute cardiac rhythm disturbances, such as electrolyte imbalances or ischemia.
• Acute Heart Failure Exacerbation: Addressing acute pulmonary edema and potential cardiogenic shock associated with severe heart failure exacerbations.

Acute Respiratory Conditions

Dr. Tome manages providing immediate care for patients experiencing acute respiratory distress or failure.

• Pneumothorax (Spontaneous or Traumatic): Interventions may include observation for small pneumothoraces, needle aspiration for symptomatic relief, or chest tube (thoracostomy) insertion for larger or tension pneumothoraces.
• Acute Shortness of Breath (Dyspnea): Systematic differential diagnosis of dyspnea, considering cardiac, pulmonary, neuromuscular, metabolic, and psychogenic etiologies.

Trauma and Musculoskeletal Injuries

Dr. Tome manages employing evidence-based approaches to treat musculoskeletal trauma and facilitate appropriate follow-up.

• Fractures, Dislocations, and Sprains/Strains: Effective initial pain management, timely closed reduction of simple joint dislocations (often under procedural sedation), and appropriate immobilization using splints, casts, or slings to protect the injured area.
• Head Trauma / Concussion (Mild Traumatic Brain Injury): Prompt recognition and stabilization of patients with more severe traumatic brain injuries (e.g., intracranial hemorrhage, diffuse axonal injury), including measures to manage increased intracranial pressure and rapid coordination with neurosurgical and critical care teams.
• Multiple Trauma / Polytrauma (Initial Stabilization and Resuscitation): Systematic and prioritized trauma assessment following Advanced Trauma Life Support (ATLS) protocols to rapidly identify and address immediate life-threatening conditions (e.g., airway obstruction, tension pneumothorax, massive hemorrhage).

This list is not exhaustive. The Emergency Department is equipped to handle a broad spectrum of urgent health issues. If you believe you have a medical emergency, please proceed to the nearest ER or call emergency services.

• Wound Care and Laceration Repair: Providing local anesthesia and ensuring optimal cosmetic and functional outcomes for wound closures.
• Procedural Sedation and Analgesia (PSA): Careful monitoring of patients undergoing procedural sedation for interventions such as fracture reductions, large abscess drainage, or electrical cardioversion.
• Fracture and Dislocation Management (Initial): Performing closed reduction of simple dislocations, often under procedural sedation, to restore anatomical alignment.
• Care for Acute Exacerbations of Chronic Diseases: Managing acute flare-ups of chronic conditions such as asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure, diabetes (e.g., DKA, HHS), or sickle cell crisis.
• Treatment of Acute Infections and Sepsis: Administering appropriate antimicrobial agents for a wide range of bacterial, viral, and fungal infections presenting emergently.
• Diagnostic Workup for Acute Conditions: Ordering and interpreting urgent laboratory tests (blood work, urinalysis, cardiac markers, etc.) and imaging studies (X-rays, CT scans, ultrasounds).

Note: This list outlines key areas of emergency medical care. The services provided by Dr. Tome are tailored to the immediate needs of patients in acute situations.

All emergency medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant CAEP (Canadian Association of Emergency Physicians) and relevant acute care guidelines. Emergency care is prioritized based on medical urgency.

The Emergency Department in Windsor's Ojibway neighbourhood is situated within the hospital complex in the Morton Industrial Park area. Located conveniently near the Commercial Corridor, it is accessible via Transit Windsor, with clear signage guiding patients to the ER entrance. Hospital parking is available with designated spots for emergency access, and the facility is fully accessible to all patients. The ER serves as a critical access point for urgent medical care within the community, seamlessly integrated with comprehensive hospital services to ensure prompt and efficient treatment for all who need it.

Why are wait times in the Emergency Room sometimes long?

Wait times in the Emergency Room can fluctuate significantly due to several factors. The primary reason is the triage process: patients with the most severe and time-sensitive conditions are treated immediately. If many critically ill patients arrive simultaneously, or if the department is experiencing high patient volumes or staffing challenges, those with less acute problems may face longer waits. Dr. Tome and the ER staff understand that waiting can be frustrating and are committed to providing efficient care while ensuring the safety and well-being of all patients.

When should I see Dr. Tome in the ER versus my family doctor for a health issue?

The Emergency Room, where Dr. Tome practices, is designed for urgent and emergency situations—conditions that require immediate medical intervention to prevent serious harm or death. Your family doctor, on the other hand, provides comprehensive primary care, including treatment for common illnesses, management of long-term health conditions, immunizations, and preventative screening. For problems that are not immediate emergencies, your family doctor can provide more personalized and continuous care. If you have a non-urgent issue, the ER may involve a long wait.

What is the primary role of an Emergency Room Doctor like Dr. Tome?

An Emergency Room Doctor, such as Dr. Tome, is a physician specifically trained to provide immediate medical evaluation and treatment for a wide spectrum of acute illnesses and injuries, ranging from minor concerns to critical, life-threatening emergencies. Their core role involves rapid assessment (triage and diagnosis), stabilization of vital functions, performing necessary emergency procedures, and making crucial decisions about patient disposition (admission, transfer, or discharge). As a an Emergency Room Doctor trained to provide immediate medical care for a wide range of acute illnesses and injuries., Dr. Tome is highly skilled in managing the unpredictable and often high-pressure environment of the emergency department, working collaboratively with a team of nurses, technicians, and other specialists.

When should I go to the Emergency Room (ER) where Dr. Tome works, versus seeing my family doctor or going to a walk-in clinic?

The Emergency Room is for serious or life-threatening medical conditions that require immediate attention. Examples include: severe chest pain or pressure, difficulty breathing or shortness of breath, signs of a stroke (like sudden weakness or numbness, trouble speaking), major injuries or uncontrolled bleeding, severe allergic reactions, high fever with confusion, or loss of consciousness. For non-urgent issues, minor illnesses, medication refills, or routine check-ups, your family doctor or a walk-in clinic is usually more appropriate. If you're unsure about the severity of your condition, it's often best to err on the side of caution and seek emergency care or call your provincial telehealth line for advice. Dr. Tome and the ER team are there for true emergencies.

What should I bring with me if I need to go to the Emergency Room where Dr. Tome works?

When coming to the Emergency Room, please ensure you have your health insurance card (e.g., OHIP, AHCIP, MSP, RAMQ card). It's also extremely beneficial for Dr. Tome and the medical team if you can provide an accurate list of all medications you are currently taking (including over-the-counter drugs and supplements), a list of any allergies you have, and details of any important past medical conditions or surgeries. If you are accompanying someone else, try to have this information for them.

Will my family doctor be informed about my visit to the ER with Dr. Tome?

Yes, it is standard practice for the Emergency Room, including when you are seen by Dr. Tome, to send a detailed summary of your ER visit to your designated family doctor, provided you share their contact information during registration. This report typically includes the reason for your visit, significant findings, any treatments administered, and recommendations for follow-up. This ensures continuity of care and keeps your family doctor informed about important changes in your health status. Following up with your family doctor after an ER visit is usually recommended.

2055 Huron Church Road
Windsor, ON N9C 2L6

Hospital Main Line: (519) 255-9185

The hospital Emergency Department is fully accessible to all patients.

Dr. Tome is a licensed Emergency Room Doctor regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. Emergency Room services are typically accessed by presenting directly to the Emergency Department or via ambulance (e.g., by calling 911) for urgent medical conditions. No direct referral is usually required to be seen in the ER by Dr. Tome or the on-duty emergency team.

Verify Dr. Tome's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Tome-Daniel-William/0275726-97114