Dr. Julien Adrien Olivier Payrastre – Emergency Room Doctor | Abbotsford, BC

Dr. Julien Adrien Olivier Payrastre 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 Abbotsford, BC, he is a key member of the frontline medical team serving the community. His practice adheres to the standards and ethical guidelines established 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 has completed extensive post-graduate training and holds the necessary certifications to practice as an Emergency Physician (FRCPC) in British Columbia. Dr. Payrastre graduated with his MD from the University of Ottawa in 2006. His certifications include the specialty designation of Emergency Physician (FRCPC), along with ongoing education in emergency medicine best practices, trauma care, and critical care management. These credentials ensure he maintains a high standard of clinical competence and up-to-date knowledge in emergency medicine.

Dr. Payrastre's professional philosophy centers on providing rapid, accurate assessments in critical situations, delivering compassionate care under pressure, and fostering effective teamwork within the multidisciplinary ER team. He is committed to evidence-based emergency medicine protocols, prioritizing patient safety, and advocating for patient needs in acute settings. He delivers emergency care in English and is dedicated to serving the community of Abbotsford with professionalism and compassion.

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

Acute Cardiovascular Conditions

Dr. Payrastre manages involving sudden and critical conditions affecting the heart and blood vessels that require immediate medical attention and intervention.

• 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.
• Hypertensive Emergencies: Identifying and addressing potential underlying causes of acute severe hypertension and arranging appropriate follow-up.

Acute Respiratory Conditions

Dr. Payrastre manages evaluating and treating sudden onset or severe worsening of breathing difficulties from various causes.

• Asthma Exacerbation / Status Asthmaticus: Treatment of life-threatening status asthmaticus, which may necessitate continuous nebulization, magnesium sulfate, or non-invasive/invasive ventilatory support.
• Pulmonary Embolism: Providing patient education on anticoagulation and follow-up post-diagnosis.
• 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.

Trauma and Musculoskeletal Injuries

Dr. Payrastre manages offering immediate assessment, pain management, and stabilization for various physical injuries encountered in the emergency department setting.

• 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.
• 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.

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.

• Management of Acute Pain and Symptom Relief: Tailoring pain relief strategies to individual patient needs and the nature of their acute presentation.
• 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.
• Treatment of Acute Infections and Sepsis: Administering appropriate antimicrobial agents for a wide range of bacterial, viral, and fungal infections presenting emergently.
• Care for Acute Exacerbations of Chronic Diseases: Stabilizing patients with decompensated chronic illnesses and coordinating appropriate ongoing care or hospital admission.
• 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).
• 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. Payrastre 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 Abbotsford is located in the Central Abbotsford, Mill Lake Area neighborhood, conveniently accessible for residents and visitors alike. It is situated near Sevenoaks Shopping Centre, making it easily reachable via the Central Fraser Valley Transit System (BC Transit). The hospital’s Emergency Department is fully accessible to all patients, with designated parking spots for emergency access. Follow hospital signage for ER patient drop-off and parking. The facility serves as a critical access point for urgent medical care within the community and is integrated with comprehensive hospital services to provide a broad spectrum of emergency and inpatient care. The department is staffed 24/7 to respond promptly to urgent health needs.

When should I go to the Emergency Room (ER) where Dr. Payrastre 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. Payrastre 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. Payrastre works?

To help Dr. Payrastre 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.

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. Payrastre 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.

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

Dr. Payrastre, as a an Emergency Physician certified by the Royal College of Physicians and Surgeons of Canada, specializing in acute care., specializes in emergency medicine. This field focuses on the immediate decision-making and action necessary to prevent death or further disability both in the pre-hospital setting (by directing emergency medical services) and in the emergency department. Their primary focus is on diagnosing undifferentiated acute conditions, resuscitating and stabilizing patients who are critically ill or injured, providing pain relief and symptom control, and coordinating comprehensive care for a diverse patient population presenting with urgent medical needs.

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. Payrastre as quickly as possible. They may also initiate some basic tests or interventions while you wait.

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

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

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

The Emergency Room, where Dr. Payrastre 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.

32900 Marshall Rd, Abbotsford Regional Hospital and Cancer Centre
Abbotsford, BC V2S 0C2

Hospital Main Line: (604) 851-4700

The hospital Emergency Department is fully accessible to all patients.

Dr. Payrastre 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. Payrastre or the on-duty emergency team.

Verify Dr. Payrastre's registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/339881/Payrastre%2CJulien