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Vascular outpatient services in Central Adelaide

Central Adelaide Local Health Network vascular service provides inpatient and outpatient services for patients living in the Central Adelaide Local Health Network (CALHN) area who suffer any vascular conditions. Services are also provided to patients referred from rural and remote areas.

Children are usually managed by referral to the Women’s and Children’s Hospital and referral to the vascular services by a pediatrician as required.

Outpatients contact details

Royal Adelaide Hospital (RAH)

  • Fax number (for referrals): (08) 7074 6247
  • All appointments: enquiries and new case appointments: (08) 1300 153 853
  • Review / change of appointments: (08) 1300 153 853

The Queen Elizabeth Hospital (TQEH)

  • Fax number (for referrals): (08) 8222 7188
  • All appointments: enquiries, appointments and treatment: (08) 8222 7010 / (08) 8222 7020
  • Review / change of appointments: (08) 8222 7010 / (08) 8222 7020

Outpatients appointment location

Royal Adelaide Hospital

Level 3 
Surgical specialties outpatients
Royal Adelaide Hospital, 
Port Road, Adelaide SA 5000

The Queen Elizabeth Hospital

Ground floor area 1 / area 3
The Queen Elizabeth Hospital
28 Woodville Road, Woodville SA 5011

Services and clinics available

Services provided are:

  • outpatient clinic consultations for diagnosis and management
  • inpatient consultations
  • inpatient admission.

Vascular outpatients clinics

Patients are generally seen by a consultant medical officer, either directly or in an overseeing role following inputs from a registrar and / or a specialist nurse or allied health professional depending on the reason for referral and the patient’s ongoing care needs.

Referrals to this clinic will be overseen by one of the consultants and triaged according to the nature of the clinical problem.

Royal Adelaide Hospital (RAH)

Day Clinics Doctors Conditions seen
Monday Vascular Mr Ewan Macaulay
Vascular fellow
All vascular conditions
All vascular conditions
Tuesday   Mr David King Vascular renal access
Wednesday No clinics
Thursday Vascular Mr Laurence Ferguson
Mr Michael Berce
Mr David King
Mr Ewan Macaulay
Mr Ewan Macaulay
Vascular fellow
All vascular conditions
All vascular conditions
All vascular conditions
Vascular renal access
Varicose vein ultrasound guided sclerotherapy
All vascular conditions
Friday No clinics

Bulk bill clinics (named referral required)

Mr Ewan Macaulay bulk bills with Medicare at the Royal Adelaide Hospital (RAH) for vascular and varicose vein clinics.

The Queen Elizabeth Hospital (TQEH)

Day Clinics Doctors Conditions seen
Monday Research clinic Mr Joseph Dawson Stable claudication
Small aneurysm surveillance
Tuesday Multidisciplinary foot service Professor Rob Fitridge
Mr Joseph Dawson
Mr Michael Herbert
Allied health professionals
Vascular wound nurse
Complicated and diabetic foot conditions
Wednesday Vascular clinic
(1 week in 4)
Professor Rob Fitridge
Mr Joseph Dawson
Mr Michael Herbert
General vascular
Thursday Vascular clinic Mr Glen Benveniste
Mr Peter Subramaniam
General vascular
Friday Vascular clinic
(2 weeks in 4)
Mr Joseph Dawson
Mr Michael Herbert
General vascular

Bulk bill clinics (named referral required)

No bulk bill clinics are conducted at the The Queen Elizabeth Hospital (TQEH) for vascular clinics.

Referral process

Immediate referral process

Where consultation is 'same day' urgent, the vascular surgery registrar should be contacted via the RAH switchboard (08) 7074 0000 or TQEH switchboard (08) 8222 6000 to discuss the patient.

A written referral marked 'urgent' should then be faxed to RAH (08) 7074 6247 or TQEH (08) 8222 7188 and sent with the patient if urgent assessment arranged. If the condition is life-threatening, the patient should be sent to the nearest emergency department.

Less urgent referrals

Preferred method of referral is by fax or letter.
Fax number: 
RAH (08) 7074 6247
TQEH (08) 8222 7188

All referrals including those urgently requiring consultation must be in writing.

Non-urgent referrals will be allocated to the next available appointment. Non-urgent referrals will incur a wait. The waiting time for appointment will vary and be dependent on the demand for this service and the medical urgency of the patient’s condition.

Venous problems not considered high priority (see eligibility and referral criteria table below) may wait a longer time for an appointment. Please consider other options and do not refer to multiple providers regarding the same presenting complaint.

Should changes occur to a patient’s medical condition during the waiting time for an appointment, referrers should send updated clinical information and where appropriate, contact the vascular surgery registrar via the RAH switchboard (08) 7074 0000 or TQEH switchboard (08) 8222 6000.

Alternate care options / health information for low priority conditions while waiting for an appointment or if no appointment is made

Not all patients referred to vascular surgery can be offered appointments in the Central Adelaide Local Health Network (CALHN) vascular surgery clinics due to limited resources. In many cases, this triaging will be based on the history and investigations provided which suggest that a treatable vascular condition is either unlikely to be present or could be reasonably managed at primary care level.

In most cases, the key to appropriate management is a detailed history and examination. If there is a worsening in the clinical or biochemical state then an updated referral could be sent. Alternatively a verbal discussion with the vascular surgery service may clarify options for management.

Vascular priorities based on clinical urgency as displayed below:

Priority Examples (not an exhaustive list) Referral process
Immediate
Vascular emergencies which are potentially life or limb threatening if untreated.
Ruptured or symptomatic abdominal aortic aneurysm (AAA).
Acutely ischaemic limb.
Severe diabetic foot infection.
Acute aortic dissection.
Acute carotid dissection.
Vascular trauma.
Extensive ilio-femoral or axillo-subclavian deep vein thrombosis (DVT).
At all times must be discussed with the vascular surgery registrar on call on
RAH: (08) 7074 0000 or TQEH: 8222 6000.
Urgent
Rapidly evolving or unstable.
Likely clinical compromise if delay in management.
'Crisis' presentation for known vascular problem.  
Large abdominal aortic aneurysm (AAA) >5cm.
Diabetic foot ulceration or infection.
Limb claudication.
Stroke / transient ischemic attack (TIA) / amarosis with carotid disease.
Acute charcot neuro-arthropathy.
Venous or neuropathic ulceration.
Superficial thrombophlebitis or bleeding varicose vein.
Carotid body tumour
Must be discussed with the vascular surgery registrar on call on
RAH: (08) 7074 0000 or
TQEH: (08) 8222 6000 to obtain appropriate prioritisation and then a referral letter marked 'urgent' faxed to the
RAH: (08) 7074 6247 or
TQEH: (08) 8222 7188
Semi urgent
Vascular abnormality causing slowly progressive deterioration in health.
Small abdominal aortic aneurysm (AAA) 3 - 4.9 cm.
Peripheral arterial aneurysm (such as Iliac, femoral, popliteal, mesenteric aneurysms).
Asymptomatic carotid artery stenosis (≥ 70%)
Thoracic outlet syndrome (arterial, venous, neurogenic).
Arterio-venous malformation.
Referrals should be faxed to the
RAH: (08) 7074 6247 or
TQEH: (08) 8222 7188
Routine
Condition is unlikely to deteriorate quickly.
Varicose veins (see varicose vein inclusion criteria at the end of this table).
Hyperhidrosis.
Lower limb lymphedema.
Referrals should be faxed to: RAH: (08) 7074 6247 or TQEH: (08) 8222 7188
Low priority Uncomplicated varicose veins Low priority for appointment
Note: varicose vein inclusion criteria:
 - current or previous ulceration
 - history of phlebitis or thrombosis
 - recurrent bleeding
 - skin changes of chronic venous insufficiency
 - pain.

Vascular clinical information sheets

The following information sheets about presentations commonly seen in vascular outpatients provide the minimum information required for assessing a referral under the headings of: eligibility, priority, differential diagnosis, clinical information and investigations required, pre-referral management strategies and discharge criteria.

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