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Newsroom | Trillium In The News  
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Trillium In The News

Mississauga News
September 8, 2002

A safe haven

Around the clock, seven days a week, doctors, nurses and paramedics make the difference between life and death

They’re the front line of medical care and quite often, the difference between life and death.

For the sick and injured, the men and women who staff the Emergency Room at Trillium Medical Centre and Credit Valley Hospital are, quite literally, lifelines.

With more than 100,000 patients a year, the Trillium Health Centre boasts the largest emergency department in Canada. About 35 doctors and 150 nurses and staff treat 240 patients a day at the 24-hour Mississauga site and 100 patients daily at the Etobicoke Queensway site.

Credit Valley Hospital (CVH) has 95 emergency nurses and 25 Emergency doctors who treat about 185 patients a day – more than 70,000 per year. A third of those patients are children.

“We see patients of all ages with the full gamut of medical complaints, from benign to very critical,” says Dr. Eric Letovsky, chief of the Emergency Medicine at CVH.

Every day is unpredictable and you never know what kind of medical problem you’ll be treating next. The challenge is to triage (assess) patients so that the most critical are given higher priorities.

There’s no question emergency staff work under a lot of pressure, but it’s that uncertainty and pressure that draws nurses and doctors to specialize in emergency care.

“Everybody finds their niche, and in emergency, we’re a different breed of cat,” says Trillium emergency nurse Lisa Seinen.

“There is no delayed gratification here: It’s all about the impact you can make at that minute.” “It’s hard to deal with heart attacks, strokes and kids drowning, and you do flash to your own kids and family,” she adds. “But in ‘emerge’, we also have the greatest opportunity to make a difference and save lives.”

With five years of emergency experience, Seinen says, “We’re not heroes, but our team does heroic things. And if you can’t work as part of a team, then you shouldn’t be working here.”

That kind of teamwork is becoming even more necessary, according to Janet Cadigan, CVH Emergency Nurse Manager. “We’re busy all day, every day,” said Cadigan. “Our Crisis Intervention Team works out of Emergency to provide psychiatric and social work support. And we also have contingency plans for dealing with major disasters.”

With only two hospitals serving a growing population of close to 700,000 in Mississauga, people who come to Emergency often wait hours for treatment. “If people feel they have an emergency, it’s an emergency to them and they should come in,” says Trillium Nurse Manager Joanne Flewwlling. “Waiting is frustrating, but we have to educate them about why they have to wait. We’re dealing with the family, not just the patient.”

The waiting times increase dramatically when emergency departments ‘gridlock’, Letovsky says. “The biggest problem for all Emergency Departments is the lack of adequate in-patient beds. We have patients on emergency stretcher. Waiting up to 24 hours for a hospital bed. That prevents us from treating other emergency patients.”

The CVH website posts regular updates on how many patients are waiting in Emergency for hospital beds.

“A big part of the problem is inadequate access to family doctors,” says Trillium’s Director of Patient Services Operations, Charlene Sandilands. “Most don’t have evening office hours when people come home from work. For a lot of people, the ER is the only way they can get medical attention.”

Something that might help is greater use of Telehealth Ontario. By dialing 1-866-797-0000, residents can talk to a registered nurse 24/7.
 


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