Referral to emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
- acute traumatic head injury with any of the following
- nausea and/or vomiting > 4 hours post injury
- any neurological deficits
- altered consciousness
- suspicion of skull fracture
- nausea and/or vomiting > 4 hours post injury
Please contact the on-call registrar to discuss your concerns prior to referral.
For clinical advice, please telephone the relevant metropolitan Local Health Network switchboard and ask to speak to the relevant specialty service.
Women's and Children's Health Network
- Women’s and Children’s Hospital (08) 8161 7000
Exclusions
- concussion/ head injury without radiological abnormality - refer to Children and Adolescent Brain Injury Rehab Services (CABIRS)
- spinal fractures - refer to the orthopaedic spinal unit at Women’s and Children’s Hospital (08) 8161 7000
Triage categories
Category 1 (appointment clinically indicated within 30 days)
- nil
Category 2 (appointment clinically indicated within 90 days)
- traumatic closed head injury with fractured skull following emergency department presentation
Category 3 (appointment clinically indicated within 365 days)
- nil
For more on outpatient referrals, see the general referral information page.
Essential referral information
Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
- identifies as Aboriginal and/or Torres Strait Islander
- identify within your referral if you feel your patient is from a vulnerable population, under guardianship/out-of-home care arrangements and/or requires a third party to receive correspondence on their behalf
- interpreter required
- relevant past medical/surgical history
- current medications, allergies
- history of presenting complaint including:
- traumatic event
- onset
- duration
- concerning features
- neurological examination findings
- confirmation of diagnosis on imaging and associated reports including location, company, and accession number