The Royal Melbourne Hospital is one of three Major Trauma Services designated to care for Victoria's most severely injured patients.
We treat 4000 trauma patients every year, with up to 1000 of those being classified as Major Traumas. We provide emergency, trauma and critical care 24 hours a day, 7 days a week.
The Trauma Service provides clinical services for trauma patients with multi-system and torso injuries, in conjunction with the healthcare team including the Emergency, Neurosurgical, Orthopaedic, Plastic, Surgical, Intensive Care, Anaesthetic, Urological, Ophthalmological, Maxillofacial, ENT and Allied Health services. The Trauma Service is responsible for and coordinates care for this complex patient group to ensure The Royal Melbourne Hospital provides the best care outcomes for patients.
The Trauma Service integrates with all other levels of trauma service providers across the state, both metropolitan and rural, to ensure the highest standard of care for major trauma patients.
In 2012 The Royal Melbourne Hospital was proud to achieve formal Level 1 Trauma Verification from the Royal Australasian College of Surgeons, making us the first Major Trauma Centre in the Victorian State Trauma System to achieve this status. Of note the review team highlighted the collegiality and positive focus of staff from across specialities to improve the management of injured patients.
Trauma service innovations
There have been number of innovations at The Royal Melbourne Hospital to improve its ability to care for trauma patients. These include:
- Helipad (opened October 2004)
- Trauma Ward with specialist single rooms for the management of patients with Post Traumatic Amnesia (opened 2004)
- 7 South East Ward - Trauma, Plastics, Head and Neck Oncology, Faciomaxillary
- 7 South West Ward - Trauma Orthopaedics and Elective Orthopaedics
- Two trauma reception rooms and new state-of-the-art monitoring system in the Emergency Department
- New CT scanners (16 detector in ED, 64 detector in radiology)
- 25-bed Intensive Care Complex
- 24-hour Emergency Operating Theatre
Through these initiatives, The Royal Melbourne Hospital Trauma Service has made a commitment to quality, education and training for the multidisciplinary trauma team. The service supports many research projects and is constantly developing the trauma program as the service grows and evolves.
The Royal Melbourne Trauma Registry was established in January 1996, and now has details on more than 15853 trauma patients.
The Registry collects and collates patient information from all trauma patients admitted to RMH who meet the criteria, those transferred to or from a hospital for acute care and those who die in the Emergency Department. Details collected range from pre-hospital through to discharge and include information such as transfer details, patient demographics, triage and clinical details, investigations, injuries, operations, complications and outcome data.
The main purpose of the Registry is to provide data for ongoing quality improvement activities, to monitor service delivery and to contribute to the monitoring of trauma outcomes throughout Victoria via The Victorian State Trauma Registry and integrally at RMH via trauma audit meetings and quality improvement activities.
It is hoped that, ultimately, the information gained from the Trauma Registry will assist in the reduction of morbidity and mortality resulting from traumatic injuries
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