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CCFP-EM Elective Block - Leamington
Saturday, 25 April 2009

Leamington

Leamington hospital has 88 acute care beds. There is a 6 bed ICU/CCU and additional 10 bed telemetry floor. Local consultant services include internal medicine, general surgery / orthopedics, anesthesia, obstetrics, radiology, hospitalist service, family medicine and ambulatory psychiatry.

The radiology department offers services in ultrasound, CT scan, plain digital radiography, fluoroscopy and nuclear medicine. All radiology studies are stored on a PACS system which communicates to other facilities in the LHIN.

The laboratory services are full with a few investigations being sent to Windsor for non-urgent studies. Additionally the emergency department has point of care testing for CBC, lytes, BUN, CR, glucose, Urine pregnancy tests, Urinalysis, cardiac markers and arterial blood gases.

The emergency department call roster is supplemented with Windsor referral to the Hotel Dieu Grace and Windsor Regional Hospitals. These include consultant services in urology, plastics surgery, orthopedics, trauma team, pediatrics, nephrology, inpatient psychiatry, neurology and neurosurgery. The traveling time between Leamington and Windsor hospitals is approximately 40 minutes by car and 25 minutes by EMS.

The emergency department was renovated in 2002 and includes 10 private exam rooms (8 with cardiac monitors), a 2 bed resuscitation/trauma bay and 5 bed observation area/fast track. Additionally there is an ambulatory care clinic adjacent to the emergency department which the department overflows to during surge periods.

Presently the emergency department is on a 24 hour AFA model with 2nd on call MD back up coverage for surge capacity. The emergency department also is staffed by 2 nurse practitioners. Our volume is approximately 27,000 visits per annum with a mixture of 1% CTAS 1, 4% CTAS 2, 35% CTAS 3, 40% CTAS 4, 20% CTAS 5. We have full local ER physician staffing - combined of 5 full time and 7 part time emergency physicians. 4 of the part time physicians work 4 to 6 shifts per month in the emergency department and part time as part of the Leamington Family Health Team. One of the part time emergency physicians has additional training with the CCFP anesthesia program. In the past year the emergency department purchased a turbomax next generation sonosite ultrasound with probes for ultrasound guided central line placement / foreign body identification as well as the probe for FAST exams and pelvic obstetrical exams.

Accomodations will be available. The hospital owns 3 houses where visiting students / physicians have stayed. However, at present these are being rented to new attending physicians who have moved to Leamington. If Leamington becomes a site for part of the CCFP(EM) residency program I will request that one these houses is kept available for visiting residents. Additionally, the hospital administration has also offered to pay for accommodations at the Pelee Island Inn (located in Leamington) and at a nice local bed & breakfast.

I have discussed with Anesthesia and general surgery who have both agreed to assist in training have CCFP(EM) residents. Also have had preliminary discussions with the Henry Ford hospital system in Detroit to allow residents to work a week while on rotation in Leamington with there Trauma service which sees up to 4 gunshot wounds/stabbings per day and multiple blunt trauma patients per day.

Contact Information

Donald Levy, BSc, MD, CCFP(EM)
Medical Director, Leamington District Memorial Hospital
ACEP / Emergency Medicine Foundation Teaching Fellow
Adjunct Professor, University of Western Ontario, SWOMEN - Windsor Site