Dr. Michael Bernard Peddle – Emergency Room Doctor | London, ON

Dr. Michael Bernard Peddle 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 London, 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), ensuring safe and effective patient care. Dr. Peddle specializes 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 Memorial University of Newfoundland Faculty of Medicine in Canada. With over 16 years of experience as an Emergency Room Doctor since 2008, Dr. Peddle brings a wealth of expertise to his practice. He is recognized as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist by the College of Physicians and Surgeons of Ontario (CPSO), maintaining high standards of emergency medicine practice.

Dr. Peddle’s professional philosophy centers on 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 to delivering comprehensive emergency care ensures that the community of London receives timely and effective treatment in their moments of greatest need. He delivers emergency care primarily in English, ensuring clear communication with patients and colleagues alike.

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

Acute Cardiovascular Conditions

Dr. Peddle 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.
• Aortic Dissection / Aneurysm (Suspected): Rapid diagnostic workup, often involving CT angiography, for patients with symptoms suggestive of life-threatening aortic conditions such as dissection or rupture.
• Acute Heart Failure Exacerbation: Stabilization of patients with decompensated heart failure using intravenous diuretics, vasodilators, supplemental oxygen, and non-invasive positive pressure ventilation if required.

Acute Respiratory Conditions

Dr. Peddle manages providing immediate care for patients experiencing acute respiratory distress or failure.

• Pneumonia (Severe or Complicated): Utilizing chest imaging and microbiological studies to confirm diagnosis and guide therapy.
• Pulmonary Embolism: Identifying and managing potential complications of PE, such as right heart strain.

Trauma and Musculoskeletal Injuries

Dr. Peddle manages managing acute fractures, dislocations, sprains, strains, open wounds, and other traumatic conditions with a focus on preventing complications and promoting healing.

• 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.
• 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.
• Multiple Trauma / Polytrauma (Initial Stabilization and Resuscitation): Arranging for definitive surgical care or transfer to a designated trauma center as appropriate.

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.

• Care for Acute Exacerbations of Chronic Diseases: Providing emergency interventions for complications arising from long-term medical conditions, aiming to restore baseline health status.
• Management of Head Injuries and Concussions: Assessing for associated cervical spine injuries in patients with head trauma.
• Fracture and Dislocation Management (Initial): Providing clear instructions for cast/splint care and follow-up appointments.
• Procedural Sedation and Analgesia (PSA): Careful monitoring of patients undergoing procedural sedation for interventions such as fracture reductions, large abscess drainage, or electrical cardioversion.
• Central Venous Access and Arterial Line Placement: Proficient placement of arterial lines for continuous, real-time blood pressure monitoring and frequent arterial blood gas analysis in unstable patients.
• Treatment of Acute Infections and Sepsis: Vigilant monitoring and supportive care for patients with severe infections, including fluid management and organ support.

Note: This list outlines key areas of emergency medical care. The services provided by Dr. Peddle 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 London's Downtown London, North London East neighborhood is a vital healthcare facility dedicated to providing urgent medical care to the community. Located near the North London Athletic Fields, it is easily accessible via the London Transit Commission (LTC). The hospital's Emergency Department is fully accessible to all patients, with convenient hospital parking available, including designated spots for emergency access. Clear hospital signage directs patients to ER drop-off zones and parking areas. This facility serves as a critical access point for urgent health needs, integrating comprehensive hospital services to ensure timely and effective care for all who walk through its doors.

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

The main responsibility of an Emergency Room Doctor like Dr. Peddle, 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.

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. Peddle, 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 should I bring with me if I need to go to the Emergency Room where Dr. Peddle works?

To help Dr. Peddle 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. Peddle in the ER versus my family doctor for a health issue?

The Emergency Room, where Dr. Peddle 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.

When should I go to the Emergency Room (ER) where Dr. Peddle 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. Peddle, is focused on providing immediate care for emergencies.

Why are wait times in the Emergency Room sometimes long?

The length of your wait in the ER is determined by a medical sorting process called triage, which Dr. Peddle and the team follow. This system ensures that the sickest patients receive care first. Factors like the number of patients currently in the ER, the severity of their conditions, and the availability of treatment rooms and staff can all impact wait times. While it can be difficult to wait, please know that the emergency team is working hard to attend to every patient based on medical priority.

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

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

Suite 336, 800 Comminsioners Road East
London, ON N6A 4G5

Hospital Main Line: (519) 685-8500

The hospital Emergency Department is fully accessible to all patients.

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

Verify Dr. Peddle's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Peddle-Michael-Bernard/0203618-79313