About
Dr. Michal Adam Piotrowski is an experienced Emergency Room Doctor, committed to delivering high-quality acute medical care to patients presenting to the Emergency Department. Practicing at Appleby College Medical in Brampton, ON, he is a key member of the frontline medical team serving the community. He is licensed by the College of Physicians and Surgeons of Ontario (CPSO), holding license number 100563. Dr. Piotrowski’s role involves 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 Gesamthochschule Essen in Germany and has accumulated over five years of experience as an Emergency Room Doctor since 2019. Dr. Piotrowski 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 medical education and certifications underpin his commitment to providing safe and effective emergency care.
Dr. Piotrowski's 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. He adheres to evidence-based emergency medicine protocols, prioritizes patient safety, and advocates for patient needs in acute settings. His dedication is to serve the community of Brampton by delivering timely, competent emergency care in English, always emphasizing professionalism and patient-centered service.
Dr. Michal Piotrowski is experienced in assessing and managing a wide array of acute medical and surgical emergencies, including (but not limited to):
Acute Cardiovascular Conditions
Dr. Piotrowski manages focusing on the rapid stabilization of patients experiencing acute cardiac distress or vascular compromise.
- Chest Pain (e.g., suspected Acute Coronary Syndrome, Myocardial Infarction): Swift investigation and stabilization for patients with symptoms suggestive of ischemic heart disease.
- Cardiac Arrhythmias (e.g., Atrial Fibrillation with Rapid Response, Ventricular Tachycardia): Stabilization of patients presenting with symptomatic or life-threatening tachyarrhythmias (e.g., VT, SVT) or bradyarrhythmias (e.g., complete heart block).
- Acute Heart Failure Exacerbation: Identifying and treating precipitating factors for heart failure decompensation.
Acute Respiratory Conditions
Dr. Piotrowski manages addressing critical illnesses of the airways and lungs that are frequently encountered and stabilized in the emergency department.
- 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.
- COPD Exacerbation: Optimizing outpatient COPD management and providing smoking cessation advice to prevent future exacerbations.
- Asthma Exacerbation / Status Asthmaticus: Providing patient education on asthma triggers, proper inhaler technique, and individualized asthma action plans upon discharge.
Trauma and Musculoskeletal Injuries
Dr. Piotrowski manages offering immediate assessment, pain management, and stabilization for various physical injuries encountered in the emergency department setting.
- 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): Providing anticipatory guidance regarding potential post-concussive symptoms and when to seek further medical attention.
- Soft Tissue Injuries (e.g., Contusions, Hematomas, Sprains): Assessment and management of bruises (contusions), collections of blood in tissues (hematomas), and ligamentous sprains or muscle/tendon strains.
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.
- Diagnostic Workup for Acute Conditions: Employing rapid diagnostic tools and protocols to efficiently evaluate patients with urgent health concerns.
- Procedural Sedation and Analgesia (PSA): Careful monitoring of patients undergoing procedural sedation for interventions such as fracture reductions, large abscess drainage, or electrical cardioversion.
- Diagnosis of Life-Threatening Emergencies: Expertise in diagnosing a broad spectrum of acute illnesses and injuries that present to the emergency department, including those with atypical presentations.
- Fracture and Dislocation Management (Initial): Providing clear instructions for cast/splint care and follow-up appointments.
- Management of Acute Pain and Symptom Relief: Focusing on rapid alleviation of severe symptoms to improve patient comfort and facilitate further diagnostic or therapeutic interventions.
- Care for Acute Exacerbations of Chronic Diseases: Addressing acute deteriorations in patients with known chronic diseases, often requiring adjustment of their usual therapies.
Note: This list outlines key areas of emergency medical care. The services provided by Dr. Piotrowski 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.
Appleby College Medical is situated in Brampton's Sandringham-Wellington neighborhood, in close proximity to the Central Public School Heritage Building. The facility is easily accessible via Brampton Transit, including Züm BRT services, with dedicated hospital parking available for emergency access. Clear signage directs patients to ER drop-off points and parking areas. The Emergency Department is fully accessible to all patients and functions as a critical access point for urgent medical care within the community, integrating seamlessly with comprehensive hospital services. The department operates 24/7, ensuring immediate availability for urgent and life-threatening conditions.
- When should I go to the Emergency Room (ER) where Dr. Piotrowski 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. Piotrowski, is focused on providing immediate care for emergencies.
- 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. Piotrowski 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 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. Piotrowski, 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.
- Will my family doctor be informed about my visit to the ER with Dr. Piotrowski?
- Maintaining communication with your family doctor is crucial for your ongoing health management. After your assessment and treatment by Dr. Piotrowski in the Emergency Room, a report of your visit is generally forwarded to your primary care physician, especially if follow-up care or medication adjustments are necessary. To facilitate this, please make sure the ER registration staff have the correct contact details for your family doctor.
- When should I see Dr. Piotrowski in the ER versus my family doctor for a health issue?
- Dr. Piotrowski 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.
Appleby College Medical
2100 Bovaird Dr E
Brampton, ON L6R 3J7
Hospital Main Line: (905) 494-2120
The hospital Emergency Department is fully accessible to all patients.
Dr. Piotrowski 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. Piotrowski or the on-duty emergency team.
Verify Dr. Piotrowski's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Piotrowski-Michal-Adam/0288561-100563