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.
- collapse/seizure/altered level of consciousness/neurological deficits
- head injuries/trauma including extensive scalp laceration or suspected traumatic brain injury
- intracranial haemorrhage with mass effect
- compound skull fracture
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.
Central Adelaide Local Health Network
- Royal Adelaide Hospital (08) 7074 0000
Southern Adelaide Local Health Network
- Flinders Medical Centre (08) 8204 5511
Exclusions
- concussion/ head injury without radiological abnormality, refer to South Australia Brain Injury Rehabilitation Service (BIRS)
- undisplaced non compound skull fracture
Triage categories
Category 1 (appointment clinically indicated within 30 days)
- intracranial haematoma without mass effect
- post traumatic cerebrospinal fluid (CSF) leak (otorrhoea/rhinorrhoea)
Category 2 (appointment clinically indicated within 90 days)
- traumatic subarachnoid haemorrhage without vascular abnormalities
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
- relevant social history, including identifying if you feel your patient is from a vulnerable population 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:
- onset
- duration
- concerning features
- traumatic event
- neurological examination findings
- confirmation of diagnosis on imaging and associated reports including location, company, and accession number
Clinical management advice
Delayed presentation/post concussive symptoms without radiological abnormality, refer to the South Australia Brain Injury Rehabilitation Service (BIRS) located at Repatriation Health Precinct for assessment and management.
Clinical resources
- Brain Trauma Foundation - Traumatic Brain Injury Clinical Guidelines
- Brain Foundation – Intracranial hypertension
- South Australia Brain Injury Rehabilitation Service (BIRS)