Trauma Activation
Adult Trauma Activation - Poster
Pediatric Trauma Activation - Poster
Adult Trauma Triage Form - for RN
Pediatric Trauma Triage Form - for RN
BC Trauma Activation Criteria document
Trauma Transfer
Trauma MRP Service Guideline -- for all ER Physicians, and Rural Sites
Trauma Care
Trauma Clinical Guidelines - VIHA
Trauma Primary and Secondary Sheet - VIHA
Trauma Admission Order Set - VIHA
Tertiary Trauma Survey - VIHA
NRGH Trauma Services Clinic Referral Form - starts every Wednesday at 12noon
NRGH Ortho Cast Clinic Referral Form
Traumatic Brain Injury Resource
Concussion Referral to Dr. Michael Breden
OUTPATIENT Referrals for Post Traumatic Headache (PTH) may be faxed either to Dr. Breden's office in Campbell River (1-888-927-8096) or alternatively a referral form for Kinetix may be faxed there for patients being referred primarily for the Kinetix Comprehensive Concussion Program. Patients with mTBI/PTH are initially assessed virtually followed by in person assessments and subsequent management. Please review the Kinetix website ( https://kinetixmedicine.com/concussion-and-post-traumatic-headaches/) for information on the comprehensive program. Please fill out (or have your patient fill out) the HIT-6 ( for headache as primary complaint) and the Rivermead Post Concussion Symptoms Questionnaire prior to the initial appointment.
INPATIENT assessments and treatment might be a possibility depending on resource availability.
Regarding initial investigations, the guidelines from the Ontario Neurotrauma Foundation (https://concussionsontario.org/concussion/guideline-section/diagnosis) may be followed:
The need for neuroimaging on acute presentation (within 24-48 hours post-injury) should be determined according to the Canadian CT rule, noting that patients who are anticoagulated or who have bleeding disorders require extra consideration. Patients presenting at the post-acute phase deemed to require neuroimaging should ideally be scanned using MRI. Plain skull x-rays are not recommended.
Subsequent investigations will be case dependent (eg potentially cervical CT/MRI /EMG for axial cervical pain/cervical radiculopathy).
Delayed brain imaging (brain CT or MRI) should be considered when neurologic signs or symptoms are suggestive of possible intracranial pathology and/or there are progressive/worsening symptoms without indications of other cause.