Dr. Teresa Man-Yee Chan

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

Acute Cardiovascular Conditions

Dr. Chan manages related to urgent cardiac or vascular issues, such as acute chest pain, suspected heart attacks, severe arrhythmias, and hypertensive crises.

• 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.
• Aortic Dissection / Aneurysm (Suspected): Coordination of immediate transfer to a facility with cardiothoracic surgical capabilities if necessary.
• Cardiac Arrhythmias (e.g., Atrial Fibrillation with Rapid Response, Ventricular Tachycardia): Identifying and treating potential underlying causes or triggers of acute cardiac rhythm disturbances, such as electrolyte imbalances or ischemia.

Acute Respiratory Conditions

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

• Pulmonary Embolism: Identifying and managing potential complications of PE, such as right heart strain.
• 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.
• Acute Shortness of Breath (Dyspnea): Utilizing bedside diagnostics like chest X-ray, ultrasound, and arterial blood gas analysis to guide assessment.

Trauma and Musculoskeletal Injuries

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

• 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.
• Multiple Trauma / Polytrauma (Initial Stabilization and Resuscitation): Initiating damage control resuscitation principles, including hemorrhage control, blood product administration, and prevention of hypothermia and coagulopathy.
• 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.

• Fracture and Dislocation Management (Initial): Providing clear instructions for cast/splint care and follow-up appointments.
• Management of Head Injuries and Concussions: Initial management of concussions (mild traumatic brain injury), including symptom assessment and providing patient education on cognitive/physical rest, recovery, and graduated return-to-activity/play.
• Initial Assessment and Management of Traumatic Injuries: Coordinating the multidisciplinary trauma team response in major injury cases to ensure comprehensive and efficient care.
• Resuscitation and Stabilization of Critically Ill Patients: Application of evidence-based resuscitation protocols to optimize outcomes for critically ill and injured patients.
• Procedural Sedation and Analgesia (PSA): Careful monitoring of patients undergoing procedural sedation for interventions such as fracture reductions, large abscess drainage, or electrical cardioversion.
• Chest Tube Insertion (Tube Thoracostomy): Providing analgesia and monitoring for complications post-procedure.

Note: This list outlines key areas of emergency medical care. The services provided by Dr. Chan 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.

City of Lakes Family Health Team in Brampton's Sandringham-Wellington neighbourhood is situated close to the Peel Art Gallery, Museum and Archives (PAMA). Easily accessible via Brampton Transit, including the Züm BRT service, the hospital's Emergency Department is located within a modern, fully accessible facility. Ample hospital parking is available with designated spots for emergency access. Clear signage directs patients to ER drop-off zones and parking areas. The ER serves as a critical access point for urgent medical care within the community and is integrated with comprehensive hospital services, ensuring patients receive timely and expert care in a high-acuity environment.

When should I see Dr. Chan in the ER versus my family doctor for a health issue?

The Emergency Room, where Dr. Chan 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.

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

An Emergency Room Doctor, such as Dr. Chan, 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 Room Doctor trained to provide immediate medical care for a wide range of acute illnesses and injuries, Dr. Chan 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 should I bring with me if I need to go to the Emergency Room where Dr. Chan 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. Chan 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.

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

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

Maintaining communication with your family doctor is crucial for your ongoing health management. After your assessment and treatment by Dr. Chan 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.

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. Chan 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.

City of Lakes Family Health Team
2100 Bovaird Drive East
Brampton, ON L6R 3J7

Hospital Main Line: (905) 494-2120

The hospital Emergency Department is fully accessible to all patients.

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

Verify Dr. Chan's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Chan-Teresa-ManYee/0250137-89082