Dr. Tudor Botnaru – Emergency Room Doctor | Pointe-Claire, QC

Dr. Tudor Botnaru is an experienced Emergency Room Doctor, committed to delivering high-quality acute medical care to patients presenting to the Emergency Department. Practicing at Lakeshore General Hospital in Pointe-Claire, QC, he is a key member of the frontline medical team serving the community. He adheres to the professional standards set by the Collège des médecins du Québec (CMQ), ensuring that all patients receive safe and effective care. Dr. Botnaru'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. He is skilled in managing time-sensitive situations, performing necessary emergency procedures, and coordinating care effectively within this fast-paced environment. The Emergency Department operates 24/7, providing essential services for urgent and life-threatening conditions, with patients prioritized based on the severity of their presentation.

He holds a Medical Degree from a recognized institution and has accumulated over 7 years of experience as an Emergency Room Doctor since 2017. Dr. Botnaru has completed extensive post-graduate training and holds the necessary certifications to practice Emergency Medicine in Quebec, including licensure from the Collège des médecins du Québec (CMQ). His professional development is driven by a commitment to evidence-based practices and continuous learning to stay current with advancements in emergency medicine.

Dedicated to providing compassionate and efficient care, Dr. Botnaru emphasizes rapid and accurate assessment in critical situations, effective teamwork, and clear communication within the multidisciplinary ER team. His approach prioritizes patient safety, advocating for patient needs in high-pressure settings, and delivering care with professionalism and empathy. He provides emergency medical services in French and is committed to serving the diverse community of Pointe-Claire with integrity and dedication.

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

Acute Cardiovascular Conditions

Dr. Botnaru manages encompassing life-threatening heart and circulatory problems frequently encountered and managed within the emergency department setting.

• Aortic Dissection / Aneurysm (Suspected): Coordination of immediate transfer to a facility with cardiothoracic surgical capabilities if necessary.
• Chest Pain (e.g., suspected Acute Coronary Syndrome, Myocardial Infarction): Rapid evaluation and risk stratification of patients presenting with chest pain to rule out or confirm life-threatening causes like acute myocardial infarction (heart attack), unstable angina, or pulmonary embolism.
• Hypertensive Emergencies: Controlled and judicious reduction of blood pressure using intravenous antihypertensive agents to prevent further complications while avoiding hypoperfusion.

Acute Respiratory Conditions

Dr. Botnaru manages addressing critical illnesses of the airways and lungs that are frequently encountered and stabilized in the emergency department.

• COPD Exacerbation: Identifying and addressing potential triggers for the exacerbation, such as respiratory infections or environmental exposures.
• Asthma Exacerbation / Status Asthmaticus: Assessing severity of exacerbation using objective measures like peak expiratory flow rate.
• Pneumothorax (Spontaneous or Traumatic): Identifying underlying lung conditions (e.g., blebs, bullae, COPD) that may predispose to spontaneous pneumothorax.

Trauma and Musculoskeletal Injuries

Dr. Botnaru manages offering immediate assessment, pain management, and stabilization for various physical injuries encountered in the emergency department setting.

• Multiple Trauma / Polytrauma (Initial Stabilization and Resuscitation): Systematic and prioritized trauma assessment following Advanced Trauma Life Support (ATLS) protocols to rapidly identify and address immediate life-threatening conditions (e.g., airway obstruction, tension pneumothorax, massive hemorrhage).
• Soft Tissue Injuries (e.g., Contusions, Hematomas, Sprains): Careful examination to rule out more serious underlying injuries, such as fractures, compartment syndrome, or tendon ruptures.
• 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.

• Rapid Triage and Initial Medical Assessment: Initial history taking, focused physical examination, and vital signs assessment for emergent and urgent conditions upon arrival.
• Diagnostic Workup for Acute Conditions: Ordering and interpreting urgent laboratory tests (blood work, urinalysis, cardiac markers, etc.) and imaging studies (X-rays, CT scans, ultrasounds).
• Chest Tube Insertion (Tube Thoracostomy): Emergency placement of a chest tube (thoracostomy tube) to evacuate air (pneumothorax) or fluid (hemothorax, pleural effusion, empyema) from the pleural space.
• 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.
• Wound Care and Laceration Repair: Providing local anesthesia and ensuring optimal cosmetic and functional outcomes for wound closures.
• Fracture and Dislocation Management (Initial): Initial clinical and radiological assessment, effective pain control, and appropriate immobilization (splinting, casting, or slings) of suspected or confirmed bone fractures and joint dislocations.

Note: This list outlines key areas of emergency medical care. The services provided by Dr. Botnaru 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 Collège des médecins du Québec (CMQ) and relevant CAEP (Canadian Association of Emergency Physicians) and relevant acute care guidelines. Emergency care is prioritized based on medical urgency.

Lakeshore General Hospital is a major hospital in Pointe-Claire, QC, centrally located within the community. The hospital's Emergency Department is situated on the hospital campus, easily accessible via main entrances. It is well connected by local public transit serving the hospital, ensuring convenient access for patients and visitors. The ER is a high-acuity care environment, equipped with state-of-the-art facilities and staffed by experienced emergency physicians and nurses. The hospital provides ample parking, including designated spots for emergency access, with clear signage guiding ER patient drop-off and parking areas. The Emergency Department serves as a critical access point for urgent medical care within the community, seamlessly integrated with comprehensive hospital services to support rapid diagnosis and treatment of urgent health issues.

When should I go to the Emergency Room (ER) where Dr. Botnaru works, versus seeing my family doctor or going to a walk-in clinic?

Deciding between the ER and other care options depends on severity. The Emergency Room is the correct place for acute, potentially severe conditions like difficulty breathing, chest pain, signs of a stroke, major trauma, severe allergic reactions, or uncontrolled bleeding. For ongoing health issues, minor ailments, or routine care, your family doctor offers continuity. Walk-in clinics can handle less severe acute issues. Dr. Botnaru and the ER staff are prepared for urgent and life-threatening situations; using the ER appropriately helps ensure timely care for those who need it most. If in doubt about a serious condition, seek emergency assessment.

What is the role of the triage nurse when I arrive at the ER?

When you arrive at the Emergency Room, a specially trained triage nurse will be one of the first healthcare professionals you see. Their role is to quickly assess the urgency of your medical condition based on your symptoms, vital signs, and a brief history. This assessment helps determine your priority for treatment relative to other patients. The triage nurse ensures that the most critically ill or injured patients are seen by an ER doctor like Dr. Botnaru as quickly as possible. They may also initiate some basic tests or interventions while you wait.

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

To help Dr. Botnaru 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.

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

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

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

Dr. Botnaru 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.

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

The main responsibility of an Emergency Room Doctor like Dr. Botnaru, a trained Emergency Physician, is to care for patients with acute medical problems requiring immediate attention. They are experts in quickly assessing patients, ordering and interpreting diagnostic tests, initiating life-saving treatments, and performing various emergency procedures. They manage everything from severe trauma and cardiac arrests to less critical but urgent issues, ensuring patients are stabilized and receive appropriate next steps in their care.

Lakeshore General Hospital
160 av Stillview
Pointe-Claire, QC H9R 2Y2

Hospital Main Line: (514) 630-2225

The hospital Emergency Department is fully accessible to all patients.

Dr. Botnaru is a licensed Emergency Room Doctor regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. 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. Botnaru or the on-duty emergency team.

Verify Dr. Botnaru's registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17513