Description
About Dr. Riley Jay Golby
Dr. Riley Jay Golby 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 Surrey, BC, he is a key member of the frontline medical team serving the community. He adheres to the standards and ethical guidelines set by the College of Physicians and Surgeons of British Columbia (CPSBC). Dr. Golby 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 urgent and life-threatening care, with patients seen based on the severity of their condition as determined by triage.
He graduated with an MD from the University of British Columbia in 2017 and has completed extensive postgraduate training to practice as an Emergency Physician (FRCPC). Dr. Golby holds the necessary certifications, including certification by the Royal College of Physicians and Surgeons of Canada, to provide emergency medical services in British Columbia. His training and certifications ensure he is equipped with the latest knowledge and skills to handle a diverse range of urgent health issues efficiently and safely.
Dr. Golby’s professional philosophy emphasizes 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 dedicated to evidence-based emergency medicine practices, prioritizing patient safety, and advocating for patient needs in acute care settings. He delivers emergency care in English and is committed to serving the Surrey community with professionalism and integrity.
Types of Emergencies Addressed by Dr. Riley Golby
Dr. Riley Golby is experienced in assessing and managing a wide array of acute medical and surgical emergencies, including (but not limited to):
Acute Cardiovascular Conditions
Dr. Golby manages involving sudden and critical conditions affecting the heart and blood vessels that require immediate medical attention and intervention.
- Hypertensive Emergencies: Identifying and addressing potential underlying causes of acute severe hypertension and arranging appropriate follow-up.
- Acute Heart Failure Exacerbation: Addressing acute pulmonary edema and potential cardiogenic shock associated with severe heart failure exacerbations.
Acute Respiratory Conditions
Dr. Golby manages providing immediate care for patients experiencing acute respiratory distress or failure.
- Pulmonary Embolism: Providing patient education on anticoagulation and follow-up post-diagnosis.
- Asthma Exacerbation / Status Asthmaticus: Aggressive and protocol-driven management of severe asthma attacks, including frequent administration of inhaled bronchodilators (beta-agonists and anticholinergics), systemic corticosteroids, and supplemental oxygen.
Trauma and Musculoskeletal Injuries
Dr. Golby manages managing acute fractures, dislocations, sprains, strains, open wounds, and other traumatic conditions with a focus on preventing complications and promoting healing.
- Head Trauma / Concussion (Mild Traumatic Brain Injury): Comprehensive evaluation of patients presenting with head injuries, including detailed neurological assessment (e.g., GCS, cranial nerve exam) and application of clinical decision rules (e.g., Canadian CT Head Rule) to determine the need for CT imaging.
- 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.
- Fractures, Dislocations, and Sprains/Strains: Providing clear instructions for cast/splint care, weight-bearing status, and orthopedic follow-up.
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.
Emergency Medical Services Provided by Dr. Riley Jay Golby
- Resuscitation and Stabilization of Critically Ill Patients: Leading and coordinating resuscitation efforts for patients in cardiac arrest, shock, or severe respiratory distress.
- Diagnostic Workup for Acute Conditions: Coordinating a comprehensive diagnostic approach, including lab and imaging, to clarify acute medical presentations.
- Management of Acute Pain and Symptom Relief: Utilizing a multimodal approach to pain management, including regional nerve blocks and procedural sedation when appropriate for the emergency setting.
- Care for Acute Exacerbations of Chronic Diseases: Managing acute flare-ups of chronic conditions such as asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure, diabetes (e.g., DKA, HHS), or sickle cell crisis.
- Diagnosis of Life-Threatening Emergencies: Identifying and initiating immediate management for critical conditions such as acute myocardial infarction (heart attack), stroke (CVA), severe infections (sepsis), and acute respiratory failure.
- Treatment of Acute Infections and Sepsis: Early recognition and aggressive, protocol-driven management of sepsis and septic shock to improve survival rates.
Note: This list outlines key areas of emergency medical care. The services provided by Dr. Golby 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.
Emergency Department Location
The Emergency Department in Surrey's West Newton, Strawberry Hill neighbourhood is strategically situated to serve the local community efficiently. It is easily accessible via TransLink, with proximity to the SkyTrain Expo Line and multiple bus routes connecting patients from Surrey City Centre, including SFU Surrey campus, City Hall, and the Library. The hospital provides ample parking, with designated spots for emergency access, and clear signage directs patients to ER drop-off points and parking facilities. The ER is part of a comprehensive hospital facility that offers 24/7 urgent care, diagnostic services, and specialist support, making it a critical access point for urgent medical needs within the community. The facility is fully accessible to all patients, ensuring equitable care for individuals with diverse needs.
Frequently Asked Questions about Emergency Care
- When should I see Dr. Golby in the ER versus my family doctor for a health issue?
- Dr. Golby 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.
- 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. Golby 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.
- What is the primary role of an Emergency Room Doctor like Dr. Golby?
- An Emergency Room Doctor, such as Dr. Golby, is a physician specifically trained to provide immediate medical evaluation and treatment for a wide spectrum of acute illnesses and injuries, ranging from minor concerns to critical, life-threatening emergencies. Their core role involves rapid assessment (triage and diagnosis), stabilization of vital functions, performing necessary emergency procedures, and making crucial decisions about patient disposition (admission, transfer, or discharge). As a an Emergency Physician certified by the Royal College of Physicians and Surgeons of Canada, specializing in acute care, Dr. Golby is highly skilled in managing the unpredictable and often high-pressure environment of the emergency department, working collaboratively with a team of nurses, technicians, and other specialists.
- 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. Golby, 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. Golby?
- Maintaining communication with your family doctor is crucial for your ongoing health management. After your assessment and treatment by Dr. Golby 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.
Emergency Department & Licensing Information
13750 96 Ave, Emergency Department
Surrey, BC V3V 1Z2
Hospital Main Line: (604) 581-2211
The hospital Emergency Department is fully accessible to all patients.
Dr. Golby 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. Golby or the on-duty emergency team.
Verify Dr. Golby's registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/343649/Golby%2CRiley