Dr. Marc Loren Gelman – Emergency Room Doctor | Scarborough, ON

Dr. Marc Loren Gelman is an experienced Emergency Room Doctor, committed to delivering high-quality acute medical care to patients presenting to the Emergency Department. Practicing at the Emergency Department in Scarborough, ON, he is a key member of the frontline medical team serving the community. His practice adheres to the standards and regulations set forth 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. Gelman graduated with a Medical Degree from the State University of New York at Buffalo in the United States. With over 13 years of experience as an Emergency Room Doctor since 2011, he has honed his skills in managing complex and critical cases in high-pressure environments. He is recognized as a CPSO Recognized Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his commitment to maintaining high standards of emergency medical practice and ongoing professional development.

His professional philosophy centers on rapid and accurate assessment in critical situations, providing compassionate care under pressure, and ensuring effective teamwork and communication within the multidisciplinary ER team. Dr. Gelman adheres strictly to evidence-based emergency medicine protocols and prioritizes patient safety while advocating for patient needs in acute settings. He delivers emergency care fluently in English, emphasizing a patient-centered approach to urgent medical issues in the Scarborough community.

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

Acute Cardiovascular Conditions

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

• Aortic Dissection / Aneurysm (Suspected): Initial stabilization including aggressive blood pressure and heart rate control, and securing urgent surgical (cardiothoracic or vascular) consultation.
• Chest Pain (e.g., suspected Acute Coronary Syndrome, Myocardial Infarction): Application of established chest pain protocols to ensure efficient and effective care.

Acute Respiratory Conditions

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

• 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.
• 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).
• Acute Shortness of Breath (Dyspnea): Prioritizing life-threatening causes of dyspnea for rapid intervention.

Trauma and Musculoskeletal Injuries

Dr. Gelman manages providing urgent medical care for a wide spectrum of injuries resulting from accidents, falls, sports, or violence, affecting bones, joints, muscles, tendons, ligaments, and soft tissues.

• Minor and Major Lacerations, Abrasions, and Burns: Meticulous cleaning, assessment of depth and contamination, and appropriate repair of skin wounds, including suturing, stapling, or application of tissue adhesives.
• Fractures, Dislocations, and Sprains/Strains: Facilitation of urgent referral to orthopedic specialists for complex fractures, open fractures, neurovascularly compromised injuries, or those requiring surgical intervention.

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: Assessment and management of abrasions, puncture wounds, avulsions, and minor to moderate thermal or chemical burns.
• Rapid Triage and Initial Medical Assessment: Immediate evaluation of patients presenting to the emergency department to determine urgency and prioritize care based on acuity.
• Management of Head Injuries and Concussions: Rapidly recognizing and stabilizing patients with more severe traumatic brain injuries, including management of increased intracranial pressure and coordination with neurosurgical services.
• Central Venous Access and Arterial Line Placement: Maintaining sterility and adhering to best practices for central and arterial line insertion and care.
• Care for Acute Exacerbations of Chronic Diseases: Addressing acute deteriorations in patients with known chronic diseases, often requiring adjustment of their usual therapies.
• Procedural Sedation and Analgesia (PSA): Utilizing established protocols and reversal agents as needed to ensure patient safety during and after PSA.

Note: This list outlines key areas of emergency medical care. The services provided by Dr. Gelman 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 Scarborough is situated within a major hospital in the Scarborough neighborhood, offering comprehensive urgent care services. It is conveniently located near the hospital campus, accessible via local public transit serving the hospital. The hospital Emergency Department is fully accessible to all patients. Ample hospital parking is available, including designated spots for emergency access. Patients are directed to follow hospital signage for ER patient drop-off and parking. This facility serves as a critical access point for urgent medical care within the community, integrating seamlessly with broader hospital services to provide comprehensive emergency response capabilities.

Why are wait times in the Emergency Room sometimes long?

Emergency departments, including the one where Dr. Gelman 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. Gelman, works diligently to provide care to everyone as quickly and safely as possible.

When should I go to the Emergency Room (ER) where Dr. Gelman 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. Gelman 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.

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. Gelman 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. Gelman works?

To help Dr. Gelman 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.

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

The main responsibility of an Emergency Room Doctor like Dr. Gelman, a an Emergency Room Doctor trained to provide immediate medical care for a wide range of acute illnesses and injuries., 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.

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

Dr. Gelman 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.

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

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

3050 Lawrence Avenue East
Scarborough, ON M1P 2V5

Hospital Main Line: (416) 431-8200

The hospital Emergency Department is fully accessible to all patients.

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

Verify Dr. Gelman's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Gelman-Marc-Loren/0057940-69528