About
Dr. Ronald Victor McMillan 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 Brampton, 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. McMillan 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. McMillan graduated with a Medical Degree from the University of Ottawa (Canada). With over 36 years of experience as an Emergency Room Doctor since 1988, he has developed extensive expertise in emergency medicine. He is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), ensuring his practice aligns with the highest professional standards and ongoing medical education requirements.
His professional philosophy centers on a commitment to rapid and accurate assessment in critical situations, providing compassionate care under pressure, and ensuring effective teamwork and communication within the multidisciplinary ER team. Dr. McMillan adheres strictly to evidence-based emergency medicine protocols, always prioritizing patient safety and advocating for patient needs in acute settings. He delivers emergency care exclusively in English, dedicated to serving the community of Brampton with competence and compassion.
Dr. Ronald McMillan is experienced in assessing and managing a wide array of acute medical and surgical emergencies, including (but not limited to):
Acute Cardiovascular Conditions
Dr. McMillan manages encompassing life-threatening heart and circulatory problems frequently encountered and managed within the emergency department setting.
- Acute Heart Failure Exacerbation: Coordinating with cardiology for ongoing management post-stabilization.
- Hypertensive Emergencies: Identifying and addressing potential underlying causes of acute severe hypertension and arranging appropriate follow-up.
- Chest Pain (e.g., suspected Acute Coronary Syndrome, Myocardial Infarction): Initial emergency management of acute coronary syndromes, including EKG interpretation, timely administration of aspirin and antiplatelet agents, cardiac biomarker assessment, and reperfusion strategies if indicated.
Acute Respiratory Conditions
Dr. McMillan manages managing urgent conditions that significantly impair breathing and lung function, demanding prompt and effective medical intervention.
- Pneumonia (Severe or Complicated): Assessing need for hospitalization versus outpatient management based on severity scores.
- Pulmonary Embolism: Prompt initiation of anticoagulation therapy for confirmed PE, or thrombolytic therapy for hemodynamically unstable (massive) PE.
Trauma and Musculoskeletal Injuries
Dr. McMillan 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.
- 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.
- Minor and Major Lacerations, Abrasions, and Burns: Administration of tetanus prophylaxis and consideration of antibiotics for contaminated wounds or those at high risk of infection, along with detailed wound care instructions.
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.
- Lumbar Puncture (Spinal Tap): Utilizing aseptic technique and careful patient positioning to ensure a safe and successful procedure.
- Procedural Sedation and Analgesia (PSA): Providing varying depths of sedation tailored to the specific procedure and patient needs.
- Treatment of Acute Infections and Sepsis: Performing source control measures for infections where appropriate in the ER setting, such as incision and drainage of abscesses.
- Management of Head Injuries and Concussions: Comprehensive evaluation of patients with head trauma, including detailed neurological assessment (e.g., Glasgow Coma Scale) and adherence to clinical decision rules for CT imaging.
- 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 Acute Pain and Symptom Relief: Focusing on rapid alleviation of severe symptoms to improve patient comfort and facilitate further diagnostic or therapeutic interventions.
Note: This list outlines key areas of emergency medical care. The services provided by Dr. McMillan 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 Brampton's Sandringham-Wellington, Heart Lake West neighborhood is situated within a modern hospital facility that is designed to provide comprehensive urgent care services. Conveniently located near Sheridan College Davis Campus, the ER is easily accessible via Brampton Transit, including Züm BRT routes. The hospital campus offers ample parking with designated spots for emergency access, clearly marked for ER patient drop-off and parking areas. The ER environment is equipped to handle high-acuity cases with state-of-the-art facilities, ensuring prompt and effective care for patients in need. As a critical access point for urgent medical care, the Emergency Department plays a vital role in serving the health needs of the local community, integrating seamlessly with the hospital's full spectrum of medical services to provide comprehensive emergency care 24/7.
- When should I see Dr. McMillan in the ER versus my family doctor for a health issue?
- The Emergency Room, where Dr. McMillan 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. McMillan 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. McMillan, is focused on providing immediate care for 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. McMillan, 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. McMillan works?
- When coming to the Emergency Room, please ensure you have your health insurance card (e.g., OHIP, AHCIP, MSP, RAMQ card). It's also extremely beneficial for Dr. McMillan and the medical team if you can provide an accurate list of all medications you are currently taking (including over-the-counter drugs and supplements), a list of any allergies you have, and details of any important past medical conditions or surgeries. If you are accompanying someone else, try to have this information for them.
- Why are wait times in the Emergency Room sometimes long?
- Emergency departments, including the one where Dr. McMillan 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. McMillan, works diligently to provide care to everyone as quickly and safely as possible.
Suite 306, 2100 Bovaird Dr. East
Brampton, ON L6R 3J7
Hospital Main Line: (416) 494-2120
The hospital Emergency Department is fully accessible to all patients.
Dr. McMillan 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. McMillan or the on-duty emergency team.
Verify Dr. McMillan's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/McMillan-Ronald-Victor/0040222-54198