"(Gausman) had his pitch count under control (97 for the game) until they made him work the last couple of innings", Orioles manager Buck Showalter said. They remain in first place in the American League East.
Home plate umpire Dale Scott is taken off the field by stretcher and emergency vehicle.
The Blue Jays responded with a pair in the bottom half of the frame.
The Blue Jays have lost five games by one run already this season and another two by three or fewer runs.
Just 10 games in, hopeful Toronto fans are clinging to the "It's early" refrain.
Devon Travis snapped a 0-for-29 slump with an RBI single off Orioles closer Zach Britton in the ninth.
Smoak hit his first homer of the season - Toronto's first dinger in 38 innings - and the Blue Jays outhit Baltimore 10-9.
Scott left the field on a spinal board in the eighth inning after being struck by a foul from Orioles slugger Mark Trumbo.
NOTES: Home plate umpire Dale Scott was removed from the field on a stretcher in the top of the eighth inning after he was hit in the mask by a foul tip.
So who is Chris Coghlan, and what can the Blue Jays expect?
A one-out single by Schoop spelled the end for Sanchez (0-1).
"When you leave balls over the middle of the plate to a good-hitting team like them, that's what they do with them", Sanchez said.
Justin Smoak crushed his first home run of the year in Friday's loss to the Orioles.
"I think it's just a reminder of the challenges physically and the risk taken every night by catchers, umpires and that one, I know Dale had some concussions a year ago", Orioles manager Buck Showalter said after the game, via the Baltimore Sun.
Both teams threatened in the first inning but couldn't push a run across.
Kendrys Morales led off the second with a splintered-bat single.
The Orioles love to slaughter the Jays with the long ball, as we saw with their two wins to start the season back in Baltimore. Hyun Soo Kim then doubled and Hardy belted his first homer of the season to give Baltimore a 4-3 lead.
Davis' drive in the sixth was the 18th of his career at Rogers Centre.
Toronto selected Chris Coghlan from Triple-A Buffalo and designated catcher Juan Graterol for assignment. Tulowitzki scored from third on a one-out error by Manny Machado on Darwin Barney's grounder to third. Barney started Friday. C/1B Juan Graterol was designated for assignment to create 40-man roster room.The Orioles designated RHP Jason Garcia for assignment to make roster room for RHP Damien Magnifico, who was obtained Thursday night from the Milwaukee Brewers for an worldwide signing bonus slot.
Goody, acquired from the New York Yankees in December, pitched 4 1/3 scoreless innings over three appearances for Columbus.
The Blue Jays have started off their season with an abysmal 1-8 record and they already sit 5.5 games back of the division leader, the Baltimore Orioles.