Dr. Chad Alden Kim Sing – Emergency Room Doctor | Vancouver, BC

Dr. Chad Alden Kim Sing is an experienced Emergency Physician (FRCPC), committed to delivering high-quality acute medical care to patients presenting to the Emergency Department. Practicing at the Emergency Department in Vancouver, BC, he is a key member of the frontline medical team serving the community. Dr. Kim Sing adheres to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). He is skilled in the rapid assessment, diagnosis, and stabilization of a broad spectrum of urgent and emergent medical, surgical, and traumatic conditions in patients of all ages. This includes managing time-sensitive situations, performing necessary emergency procedures, and coordinating care effectively within the fast-paced ER environment. The Emergency Department operates 24/7 to provide care for urgent and life-threatening conditions. Patients are seen based on the severity of their condition, as determined by a triage process.

He graduated with an MD from the University of Western Ontario in 2002 and has completed extensive post-graduate training. Dr. Kim Sing holds the specialty certification as an Emergency Physician (FRCPC), enabling him to practice at the highest standards within BC. His training and certifications reflect his dedication to maintaining excellence in emergency medicine, ensuring patients receive timely and effective care in critical situations.

Dr. Kim Sing’s professional philosophy emphasizes rapid and accurate assessment in critical situations, providing compassionate care under pressure, and fostering effective teamwork and communication within the multidisciplinary ER team. He is committed to adhering to evidence-based emergency medicine protocols, prioritizing patient safety, and advocating for patient needs in acute settings. His dedication lies in delivering comprehensive emergency care to the Vancouver community, ensuring each patient receives the attention and treatment they require in their moment of greatest need. He delivers emergency care fluently in English, with a focus on clear, reassuring communication.

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

Acute Cardiovascular Conditions

Dr. Kim Sing manages addressing emergent conditions of the cardiovascular system that can lead to significant morbidity or mortality if not promptly diagnosed and treated.

• Chest Pain (e.g., suspected Acute Coronary Syndrome, Myocardial Infarction): Comprehensive assessment of various etiologies of chest discomfort presenting to the ER, differentiating cardiac from non-cardiac causes.
• Aortic Dissection / Aneurysm (Suspected): Managing potential complications such as malperfusion syndromes.

Acute Respiratory Conditions

Dr. Kim Sing manages managing urgent conditions that significantly impair breathing and lung function, demanding prompt and effective medical intervention.

• Acute Shortness of Breath (Dyspnea): Systematic differential diagnosis of dyspnea, considering cardiac, pulmonary, neuromuscular, metabolic, and psychogenic etiologies.
• Pulmonary Embolism: Rapid diagnostic workup (e.g., Wells score, PERC rule, D-dimer testing, CT pulmonary angiography, or V/Q scan) for patients with suspected blood clots in the lungs (PE).
• COPD Exacerbation: Identifying and addressing potential triggers for the exacerbation, such as respiratory infections or environmental exposures.

Trauma and Musculoskeletal Injuries

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

• Fractures, Dislocations, and Sprains/Strains: Accurate diagnosis of bone fractures and joint dislocations using thorough physical examination, patient history, and appropriate imaging studies (X-rays, occasionally CT or ultrasound).
• Soft Tissue Injuries (e.g., Contusions, Hematomas, Sprains): Determining the need for further imaging or specialist follow-up based on the severity and nature of the injury.
• Head Trauma / Concussion (Mild Traumatic Brain Injury): Diagnosis and initial management of concussions (mild traumatic brain injuries), emphasizing patient and family education regarding symptoms, expected recovery course, cognitive and physical rest, and criteria for graduated return-to-play/activity/school.

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.

• Diagnostic Workup for Acute Conditions: Coordinating a comprehensive diagnostic approach, including lab and imaging, to clarify acute medical presentations.
• Resuscitation and Stabilization of Critically Ill Patients: Expert airway management, including endotracheal intubation, cricothyrotomy, and initiation of mechanical ventilation support in acute respiratory emergencies.
• Diagnosis of Life-Threatening Emergencies: Identifying and initiating immediate management for critical conditions such as acute myocardial infarction (heart attack), stroke (CVA), severe infections (sepsis), and acute respiratory failure.
• Treatment of Acute Infections and Sepsis: Early recognition and aggressive, protocol-driven management of sepsis and septic shock to improve survival rates.
• Care for Acute Exacerbations of Chronic Diseases: Addressing acute deteriorations in patients with known chronic diseases, often requiring adjustment of their usual therapies.
• Rapid Triage and Initial Medical Assessment: Conducting prompt initial screening and assessment to sort patients by medical priority in a dynamic emergency environment.

Note: This list outlines key areas of emergency medical care. The services provided by Dr. Kim Sing 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 British Columbia (CPSBC) 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 Vancouver's Fairview neighbourhood is situated within a modern hospital facility, offering critical access to urgent medical care. The department is conveniently located near Vancouver Lookout, easily accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). The hospital provides ample parking, with designated spots for emergency access, and clear signage guiding patients to ER drop-off points. The ER environment is designed to handle high-acuity cases, ensuring rapid response for life-threatening conditions, and is integrated with comprehensive hospital services to support patient needs around the clock. This location serves as a vital community resource for urgent health issues, providing a safe and welcoming environment for all patients requiring emergency care.

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

Deciding between the ER and other care options depends on severity. The Emergency Room is the correct place for acute, potentially severe conditions like difficulty breathing, chest pain, signs of a stroke, major trauma, severe allergic reactions, or uncontrolled bleeding. For ongoing health issues, minor ailments, or routine care, your family doctor offers continuity. Walk-in clinics can handle less severe acute issues. Dr. Kim Sing and the ER staff are prepared for urgent and life-threatening situations; using the ER appropriately helps ensure timely care for those who need it most. If in doubt about a serious condition, seek emergency assessment.

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

Yes, it is standard practice for the Emergency Room, including when you are seen by Dr. Kim Sing, 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.

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

To help Dr. Kim Sing and the ER staff provide the best care, please bring your government-issued health card. A list of all medications you take, including prescriptions, over-the-counter drugs, vitamins, and herbal supplements, is also vital. Knowing your allergies and any chronic health conditions or previous major surgeries will also help the team. If you regularly see other specialists, their contact information might also be useful.

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

The Emergency Room, where Dr. Kim Sing 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 role of the triage nurse when I arrive at the ER?

The triage nurse in the ER performs a crucial initial assessment to rapidly evaluate how serious your condition is. They will ask about your symptoms, check your vital signs (like blood pressure, heart rate, and temperature), and assign you a triage level. This level dictates how quickly you need to be seen by an Emergency Room Doctor such as Dr. Kim Sing, ensuring that patients with life-threatening conditions receive immediate care. They are a key part of the ER team that ensures patient safety and efficient flow.

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

The main responsibility of an Emergency Room Doctor like Dr. Kim Sing, a an Emergency Physician certified by the Royal College of Physicians and Surgeons of Canada, specializing in acute care., is to care for patients with acute medical problems that require immediate attention. They are experts at quickly assessing patients, ordering and interpreting diagnostic tests, initiating life-saving treatments, and performing a variety of emergency procedures. They manage everything from severe trauma and cardiac arrests to less critical but still urgent issues, ensuring patients are stabilized and receive appropriate next steps in their care.

Why are wait times in the Emergency Room sometimes long?

Emergency departments, including the one where Dr. Kim Sing practices, utilize a triage system. This means patients are not seen on a first-come, first-served basis, but rather based on the severity and urgency of their medical condition. Patients with life-threatening injuries or illnesses (like heart attacks, strokes, or major trauma) are always prioritized and seen first. This can result in longer wait times for those with less urgent conditions, especially during peak hours or when the ER is managing multiple critically ill patients. The entire ER team, including Dr. Kim Sing, works diligently to provide care to everyone as quickly and safely as possible.

920 10th Ave W, Vancouver General Hospital, Emergency Department
Vancouver, BC V5Z 1M9

Hospital Main Line: (604) 875-4111

The hospital Emergency Department is fully accessible to all patients.

Dr. Kim Sing is a licensed Emergency Physician (FRCPC) regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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. Kim Sing or the on-duty emergency team.

Verify Dr. Kim Sing's registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/326510/Kim%20Sing%2CChad