About
Dr. James Curtis Fedoruk is an experienced Emergency Physician (CCFP-EM), committed to delivering high-quality acute medical care to patients presenting to the Emergency Department. Practicing at Rotman Research Institute in Tecumseh, ON, he is a key member of the frontline medical team serving the community. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). 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.
Dr. Fedoruk graduated with a Medical Degree from McMaster University in Canada and has over 39 years of experience practicing as an Emergency Physician (CCFP-EM) since 1985. He is recognized as a CFPC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his extensive training and expertise in emergency medicine.
His 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. Dr. Fedoruk is dedicated to adhering to evidence-based emergency medicine protocols, prioritizing patient safety, and advocating for patient needs in acute settings. He delivers emergency care primarily in English, with a focus on ensuring timely and effective treatment for the community of Tecumseh.
Dr. James Fedoruk is experienced in assessing and managing a wide array of acute medical and surgical emergencies, including (but not limited to):
Trauma and Musculoskeletal Injuries
Dr. Fedoruk manages employing evidence-based approaches to treat musculoskeletal trauma and facilitate appropriate follow-up.
- Soft Tissue Injuries (e.g., Contusions, Hematomas, Sprains): Educating patients on expected recovery times and rehabilitation strategies.
- Fractures, Dislocations, and Sprains/Strains: Providing clear instructions for cast/splint care, weight-bearing status, and orthopedic follow-up.
Acute Cardiovascular Conditions
Dr. Fedoruk manages related to urgent cardiac or vascular issues, such as acute chest pain, suspected heart attacks, severe arrhythmias, and hypertensive crises.
- Chest Pain (e.g., suspected Acute Coronary Syndrome, Myocardial Infarction): Rapid evaluation and risk stratification of patients presenting with chest pain to rule out or confirm life-threatening causes like acute myocardial infarction (heart attack), unstable angina, or pulmonary embolism.
- Acute Heart Failure Exacerbation: Identifying and treating precipitating factors for heart failure decompensation.
- Cardiac Arrhythmias (e.g., Atrial Fibrillation with Rapid Response, Ventricular Tachycardia): Prompt diagnosis and emergency management of hemodynamically significant abnormal heart rhythms, including electrical cardioversion, pharmacological cardioversion, or rate control strategies.
Acute Respiratory Conditions
Dr. Fedoruk manages focusing on restoring adequate oxygenation and ventilation in patients with emergent pulmonary issues.
- Pneumothorax (Spontaneous or Traumatic): Ensuring adequate lung re-expansion and pain control.
- Pulmonary Embolism: Identifying and managing potential complications of PE, such as right heart strain.
- Asthma Exacerbation / Status Asthmaticus: Monitoring response to therapy closely and adjusting treatment accordingly.
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.
- Treatment of Acute Infections and Sepsis: Initiation of empiric and targeted antibiotic therapy for suspected or confirmed severe infections based on clinical presentation and local epidemiology.
- Diagnostic Workup for Acute Conditions: Formulating differential diagnoses for a wide range of undifferentiated acute symptoms through systematic investigation.
- Diagnosis of Life-Threatening Emergencies: Applying advanced diagnostic reasoning to quickly pinpoint life-threatening conditions amidst complex clinical pictures.
- Resuscitation and Stabilization of Critically Ill Patients: Implementing Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Advanced Trauma Life Support (ATLS) interventions as required.
- Care for Acute Exacerbations of Chronic Diseases: Stabilizing patients with decompensated chronic illnesses and coordinating appropriate ongoing care or hospital admission.
- Management of Acute Pain and Symptom Relief: Prompt and effective symptom control for distressing conditions such as severe nausea, vomiting, acute shortness of breath, or systemic allergic reactions.
Note: This list outlines key areas of emergency medical care. The services provided by Dr. Fedoruk 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.
Rotman Research Institute is located in a major hospital in Tecumseh, ON, offering comprehensive emergency services within close proximity to the hospital campus. The ER is easily accessible via local public transit serving the hospital, with clear signage directing patients to the emergency entrance. The facility is fully accessible to all patients, with hospital parking available including designated spots for emergency access. Follow the hospital signage for ER patient drop-off and parking. The Emergency Department serves as a critical access point for urgent medical care within the community, integrating seamlessly with hospital-wide services to provide timely, high-quality emergency care 24/7.
- When should I see Dr. Fedoruk in the ER versus my family doctor for a health issue?
- Dr. Fedoruk and the Emergency Room team are best equipped to handle acute, severe, or potentially life-threatening medical conditions. For ongoing care, management of chronic illnesses (unless there's an acute exacerbation), routine check-ups, preventative health measures, prescription refills for stable conditions, and non-urgent health concerns, your family doctor is the most appropriate healthcare provider. They offer continuity of care and have a comprehensive understanding of your overall health history. If your condition is not an emergency, consulting your family doctor or a walk-in clinic is generally recommended.
- What is the primary role of an Emergency Room Doctor like Dr. Fedoruk?
- The main responsibility of an Emergency Room Doctor like Dr. Fedoruk, a an Emergency Physician with certification from the College of Family Physicians of Canada in Emergency Medicine, skilled in managing urgent medical conditions., 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?
- 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. Fedoruk 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.
- Will my family doctor be informed about my visit to the ER with Dr. Fedoruk?
- Yes, it is standard practice for the Emergency Room, including when you are seen by Dr. Fedoruk, 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 is the role of the triage nurse when I arrive at the ER?
- When you arrive at the Emergency Room, a specially trained triage nurse will be one of the first healthcare professionals you see. Their role is to quickly assess the urgency of your medical condition based on your symptoms, vital signs, and a brief history. This assessment helps determine your priority for treatment relative to other patients. The triage nurse ensures that the most critically ill or injured patients are seen by an ER doctor like Dr. Fedoruk as quickly as possible. They may also initiate some basic tests or interventions while you wait.
- What should I bring with me if I need to go to the Emergency Room where Dr. Fedoruk works?
- To help Dr. Fedoruk 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 go to the Emergency Room (ER) where Dr. Fedoruk works, versus seeing my family doctor or going to a walk-in clinic?
- You should visit the ER for conditions that you believe could be life-threatening, limb-threatening, or could cause serious harm if not treated quickly. This includes symptoms like sudden severe pain (especially chest, abdominal, or head), difficulty breathing, suspected broken bones from a significant injury, uncontrolled bleeding, sudden changes in vision or neurological function, or if you've been advised to go by another healthcare provider. For less urgent concerns like mild colds, chronic pain management, or routine follow-ups, your family physician or a local urgent care/walk-in clinic is the better choice. ERs prioritize the most critical patients, meaning wait times for non-urgent issues can be considerable. The team, including Dr. Fedoruk, is focused on providing immediate care for emergencies.
Rotman Research Institute
104-11811 Tecumseh Rd E, Baycrest Health Sciences
Tecumseh, ON N8N 4M7
Hospital Main Line: (519) 979-3355
The hospital Emergency Department is fully accessible to all patients.
Dr. Fedoruk is a licensed Emergency Physician (CCFP-EM) 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. Fedoruk or the on-duty emergency team.
Verify Dr. Fedoruk's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Fedoruk-James-Curtis/0026109-30932