Dr. Marc Ryan Lipkus is an experienced Emergency Room Doctor, committed to delivering high-quality acute medical care to patients presenting to the Emergency Department. Practicing at T & T Medical Clinic in North York, ON, he is a key member of the frontline medical team serving the community. He adheres to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Lipkus 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 a Medical Degree from Schulich School of Medicine and Dentistry in Canada, and has accumulated over 5 years of experience as an Emergency Room Doctor since 2019. Dr. Lipkus is recognized as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist by the College of Physicians and Surgeons of Ontario (CPSO). His training and certification ensure he is well-equipped to handle a wide range of emergency medical situations with expertise and professionalism.
Dr. Lipkus's professional philosophy centers on providing rapid and accurate assessment in critical situations, delivering compassionate care under pressure, and working collaboratively within a 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 is to serve the North York community by offering timely, effective, and compassionate emergency care in English.
Dr. Marc Lipkus is experienced in assessing and managing a wide array of acute medical and surgical emergencies, including (but not limited to):
Acute Cardiovascular Conditions
Dr. Lipkus manages addressing emergent conditions of the cardiovascular system that can lead to significant morbidity or mortality if not promptly diagnosed and treated.
- Hypertensive Emergencies: Controlled and judicious reduction of blood pressure using intravenous antihypertensive agents to prevent further complications while avoiding hypoperfusion.
- 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. Lipkus manages focusing on restoring adequate oxygenation and ventilation in patients with emergent pulmonary issues.
- Acute Shortness of Breath (Dyspnea): Prioritizing life-threatening causes of dyspnea for rapid intervention.
- Pneumonia (Severe or Complicated): Diagnosis and initiation of treatment for lung infections, particularly severe community-acquired pneumonia (CAP) or healthcare-associated pneumonia (HCAP) presenting with respiratory distress or sepsis.
- Pulmonary Embolism: Prompt initiation of anticoagulation therapy for confirmed PE, or thrombolytic therapy for hemodynamically unstable (massive) PE.
Trauma and Musculoskeletal Injuries
Dr. Lipkus 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.
- 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.
- Minor and Major Lacerations, Abrasions, and Burns: Evaluation and care for abrasions and puncture wounds, including foreign body assessment.
- 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.
- Management of Head Injuries and Concussions: Assessing for associated cervical spine injuries in patients with head trauma.
- Chest Tube Insertion (Tube Thoracostomy): Life-saving intervention for tension pneumothorax or management of significant pleural collections causing respiratory compromise.
- Treatment of Acute Infections and Sepsis: Vigilant monitoring and supportive care for patients with severe infections, including fluid management and organ support.
- Procedural Sedation and Analgesia (PSA): Utilizing established protocols and reversal agents as needed to ensure patient safety during and after PSA.
- Lumbar Puncture (Spinal Tap): Managing potential complications like post-LP headache.
- Rapid Triage and Initial Medical Assessment: Initial history taking, focused physical examination, and vital signs assessment for emergent and urgent conditions upon arrival.
Note: This list outlines key areas of emergency medical care. The services provided by Dr. Lipkus 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.
T & T Medical Clinic is located within a major hospital in North York, serving as a critical access point for urgent medical care in the community. The hospital's Emergency Department is situated conveniently near the hospital campus, accessible via local public transit serving the hospital. The facility is fully accessible to all patients, with hospital parking available, including designated spots for emergency access. Patients seeking emergency care should follow hospital signage for ER patient drop-off and parking. The ER provides 24/7 access to high-acuity emergency services, integrating seamlessly with comprehensive hospital resources to ensure rapid response and treatment for all urgent medical needs.
- When should I go to the Emergency Room (ER) where Dr. Lipkus 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. Lipkus and the ER team are there for true emergencies.
- 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. Lipkus, 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.
- When should I see Dr. Lipkus in the ER versus my family doctor for a health issue?
- The Emergency Room, where Dr. Lipkus 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.
- Why are wait times in the Emergency Room sometimes long?
- Emergency departments, including the one where Dr. Lipkus 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. Lipkus, works diligently to provide care to everyone as quickly and safely as possible.
- Will my family doctor be informed about my visit to the ER with Dr. Lipkus?
- Yes, it is standard practice for the Emergency Room, including when you are seen by Dr. Lipkus, 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. Lipkus works?
- If you need to visit the ER, it's very helpful to bring your provincial health card and any other relevant insurance information. A complete list of your current medications (including name, dosage, and how often you take them), any known drug allergies, and a brief summary of your significant medical history (like major illnesses, past surgeries, or chronic conditions) can greatly assist Dr. Lipkus and the ER team. If possible, also bring contact information for your family doctor. For children, their immunization record can be useful if it's readily available.
T & T Medical Clinic
4001 Leslie St
North York, ON M2K 1E1
Hospital Main Line: (416) 756-6000
The hospital Emergency Department is fully accessible to all patients.
Dr. Lipkus 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. Lipkus or the on-duty emergency team.
Verify Dr. Lipkus's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Lipkus-Marc-Ryan/0296277-103911