The Alfred Trauma Service was founded in 1984. It is the largest and most active Trauma Service in Australasia.
The Trauma Service is one of three Victorian Major Trauma Services (The Alfred, The Royal Melbourne Hospital and The Royal Children's Hospital) treating over half of all major Victorian trauma cases.
The service provides integrated emergency, trauma and critical care 24 hours a day 365 days a year.
Over 5000 trauma patients are admitted annually, with over 1000 of these patients classed as major trauma.
The Trauma Centre is within a modern purpose built facility, which includes:
The Alfred Trauma staff are committed to providing excellence in trauma care through audit, quality improvement, education, training and clinical and laboratory research.
The Alfred Trauma Service is currently engaged in major international Trauma Capacity Building programs in China, India and Sri Lanka.
Trauma care has been a focus for The Alfred Hospital for over a century. Through two World Wars, the Korean and Vietnam Wars and the height of the Road Toll War of the late 1960's and 1970's, The Alfred staff have committed to improve the care of the trauma patient.
The Accident Clinic, the introduction of the Motor Accident Board of Trauma Surgeons in 1984, the TAC Trauma Service, the Trauma Service of The Department of General Surgery 1985, the Trauma Centre and Helipad in 1989, Trauma ICU and dedicated Trauma ward and the establishment of the Professorial Trauma Department in its own right, have all been steps in the evolution of a world standard Trauma Service.
Fundamental to that has been the involvement of the specialist surgical, diagnostic, ancillary medical and nursing services. The Victorian State Trauma System established in the late 1990's was the final step in the provision of an integrated system of trauma care.Top
The Alfred Trauma Registry, based within the Trauma Service was established in late 1988, and serves to detail all major and selected minor trauma work undertaken at The Alfred.
The Registry collects patient information from all major trauma admission, all trauma ICU admissions, all trauma transfers, and all deaths after injury. The main functions of The Alfred Trauma Registry are to chronicle trauma activity at The Alfred, monitor quality and service delivery and to supply information to the Victorian State Trauma Registry.
The scope of the Registry has grown considerably since its beginnings, and is linked to the clinical unit with ongoing exchange of information. The Registry thus provides a major trauma database for trauma related research activities largely derived from the considerable major trauma dataset.
The Trauma Registry also provides information for, and contributes to, both The Alfred Trauma Management and Quality Improvement Committee and The Alfred Trauma Morbidity and Mortality Subcommittee.Top
Research involving the Trauma Service is coordinated by the National Trauma Research Institute:
For research regarding:
Spinal Clearance Management Protocol
SpinalClearanceManagementProtocol_External.pdf (648.4 KB)
Trauma Service provides positions for:
Trauma Reception and Resuscitation Physicians
International Fellows (recently from Thailand, China, UK, Saudi Arabia and Germany)
Advanced Trainees (The Alfred Trauma Service has 2 Accredited 6 month positions for an Advanced Trainee in Surgery and an Advanced Trainee in Emergency Medicine).
For any inquiries please contact Ms. Kim Williams.Top
Black Saturday: the immediate impact of the February 2009 bushfires in Victoria, Australia
Peter A. Cameron, Biswadev Mitra, Mark Fitzgerald, Carlos D. Scheinkestel, Andrew Stripp, Chris Batey, Louise Niggemeyer, Melinda Truesdale, Paul Holman, Rishi Mehra, Jason Wasiak, Heather Cleland. Med J Aust. 2009; 191:11-16
Challenges to Real-Time Decision Support in Health Care
Mark Fitzgerald, Nathan Farrow, Pamela Scicluna, Angela Murray, Yan Xiao,Colin F. Mackenzie, Chapter in - Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advancesin patient safety: New directions and alternative approaches. Vol. 2. Cultureand Redesign. AHRQ Publication No. 08-0034-2. Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
Fluid Resuscitation in Major Burns
Mitra B, Fitzgerald M, Cameron P, Cleland H, ANZ J Surg 2006; 76:35-38.
India and the Management of Road Crashes - Towards a National Trauma System
Fitzgerald M, Dewan Y, O'Reilly G, Mathew J, McKenna C. Indian J Surg, Aug 2006;68(4):237-43.
Pleural decompression and drainage during trauma reception and resuscitation
Fitzgerald M, Mackenzie C F, Marasco S, Hoyle R, Kossmann T. Injury 2008 Jan:39;9-20.
Survival following resuscitative thoracotomy for combined left ventricle and left atrium ruptures secondary to blunt trauma
Fitzgerald M, Basu A, Rahman F, Russell TJ, Hines J, Gooi J, Marasco S, Bezer L, Effeney P, Bunbury K. Injury (2008), 39, 1089-1092.
The evolution of an integrated State Trauma System in Victoria, Australia
Chris Atkin, Ilan Freedman, Jeffrey V. Rosenfeld, Mark Fitzgerald, Thomas Kossmann. Injury; 36(11):1277-1287, November 2005.
Video as a Tool for Improving Tracheal Intubation Tasks for Emergency Medical and Trauma Care
Colin F. Mackenzie, Yan Xiao, Fu-Ming Hu, Jacob Seagull, Mark Fitzgerald. Ann Em Med. 2007 Oct;50(4):436-442.
Injury among Indigenous people charting a safer future: A symposium at the Royal Australasian College of Surgeons
Russell L. Gruen, *, Kelvin Kong, Injury, Int. J. Care Injured (2008) 39S5, S1-S2
Patterns of Errors Contributing to Trauma Mortality Lessons Learned From 2594 Deaths
Russell L. Gruen, MD, PhD, Gregory J. Jurkovich, MD, Lisa K. McIntyre, MD, Hugh M. Foy, MD,and Ronald V. Maier, MD, Annals of Surgery • Volume 244, Number 3, September 2006
Traumatic Brain Injury and Long-Term Quality of Life: Findings from an Australian Study
Graeme Hawthorne,1 Russell L. Gruen,2 and Andrew H. Kaye2, JOURNAL OF NEUROTRAUMA 26:1623-1633 (October 2009)
Crocodile Attacks in Australia: Challenges for Injury Prevention and Trauma Care
Russell L. Gruen, World J Surg (2009) 33:1554-1561
Emergency Medical Service (EMS) systems in developed and developing countries Bahman S. Roudsari a,*, Avery B. Nathens b, Carlos Arreola-Risa c, Peter Cameron d, Ian Civil e, Giouli Grigoriou f, Russel L. Gruen g, Thomas D. Koepsell h,i, Fiona E. Lecky j, Rolf L. Lefering k, Moishe Liberman l, Charles N. Mock m,h, Hans-Jo¨rg Oestern n, Elenie Petridou o,p, Thomas A. Schildhauer q, Christian Waydhas r, Moosa Zargar s, Frederick P. Rivara t,h, Injury, Int. J. Care Injured (2007) 38, 1001-1013
The building blocks of a professional response to Indigenous injury
Kelvin Konga, Russell L. Gruenb, Injury, Int. J. Care Injured (2008) 39S5, S73-S75
|Trauma website that links to all other major trauma websites||Victorian State Government, Trauma Website|
|Australasian Trauma Society||Journal of Trauma|
|Victorian Ambulance Services, Clinical Practice Guidelines||
Liverpool Hospital (NSW)
|American College of Surgeons - trauma protocols||National Study on Costs and Outcomes of Trauma Care|
|Royal Children's Hospital clinical protocols||American Trauma Society|
|European Journal of Trauma||ANZ Journal of Surgery|
|National Society of Neurotrauma||Journal of Neurotrauma|
|Injury - Elsevier|