Trauma & ATLS
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
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.