NSW trauma networks

The NSW trauma system is based on a inclusive networked system of hospitals designated to provide various levels of trauma management capability across the metropolitan, regional and rural settings in order to provide definitive trauma care to all injured patients across NSW.1 Each of the major trauma services (MTS) are networked with regional trauma services (RTS) and associated referring Local Health Districts as outlined in the tables below.

The NSW trauma networks are closely aligned with the NSW Critical Care Tertiary Referral Networks. The networks are largely determined by the location of the MTS and the imperative to achieve early clinical intervention for all seriously injured patients in accordance with the Ambulance Service of NSW Protocol T1.1

Adults

Table 1: Adult NSW trauma services network. Adapted from the NSW Health policy directive: Critical Care Tertiary Referral Networks & Transfer of Care.

Major trauma serviceRegional trauma serviceReferring Local Health District (LHD)
John Hunter Hospital

Coffs Harbour Base Hospital
Lismore Base Hospital
Port Macquarie Base Hospital
Tamworth Rural Referral Hospital
The Tweed Hospital1

Hunter New England LHD
Mid North Coast LHD
Northern NSW LHD

Royal North Shore HospitalGosford HospitalNorthern Sydney LHD
Central Coast LHD
Liverpool HospitalN/ASouth Western Sydney LHD
Royal Prince Alfred HospitalN/ASydney LHD
Western NSW LHD2
Far West LHD2 
St George HospitalWollongong Hospital
Wagga Wagga Base Hospital
South Eastern Sydney LHD
Illawarra Shoalhaven LHD
Southern NSW LHD3
Murrumbidgee LHD4
St Vincent's HospitalN/AN/A
Westmead HospitalNepean Hospital
Orange Health Service

Western Sydney LHD
Nepean Blue Mountains LHD
Western NSW LHD2
Far West LHD2,5

  1. Owing to proximity, hospitals within the Northern NSW LHD maintain a clinical referral network with Queensland.
  2. Western NSW LHD and Far West LHD have a split critical care and trauma referral network, where critical care patients are networked with Royal Prince Alfred Hospital and trauma patients with Westmead Hospital.
  3. The Canberra Hospital maintains a referral network for the following hospitals: Batemans Bay, Batlow, Bega, Bombala, Boorowa, Braidwood, Cooma, Crookwell, Delegate, Goulburn, Moruya, Pambula, Queanbeyan, Tumut, Yass and Young.
  4. Owing to proximity, Albury Hospital maintains a clinical referral network with Victoria.
  5. Owing to proximity, Broken Hill Hospital maintains a referral network with South Australia.

Paediatrics

Children aged 0-15 years fitting the criteria in the Ambulance Service of NSW Protocol T1 (with due consideration given to paediatric physiological changes) should be transferred, if within the recommended pre-hospital transport time, to a paediatric MTS capable of providing specialised acute, diagnostic and definitive paediatric trauma care. These cases are time-critical and need access to definitive trauma care in as timely manner as possible.1

When direct transport to a paediatric MTS is not feasible, the child should be transported to the most appropriate adult MTS or RTS facility for initial assessment, stabilisation and appropriate transfer. Pre-hospital notification to the Ambulance Service of NSW Operations Centre and through activation of the Rapid Launch Trauma Coordinator (RLTC) model and the Newborn and paediatric Emergency Transport Service (NETS), will facilitate an early retrieval response to support efficient transfer to a designated paediatric MTS.1

Table 2: Paediatric NSW trauma services network. Adapted from the NSW Health policy directive: Critical Care Tertiary Referral Networks & Transfer of Care.

Major Trauma ServiceChild health networkReferring Local Health District (LHD)
John Hunter Children's HospitalNorthern Hunter New England LHD
Mid North Coast LHD
Northern NSW LHD1
Children's Hospital at WestmeadWestern

South Western Sydney LHD (Liverpool, Fairfield, Concord)
Nepean Blue Mountains LHD 
Western Sydney LHD
Northern Sydney LHD (Hornsby, Ryde)
Central Coast LHD (Gosford, Wyong)
Western NSW LHD
Far West LHD2

Sydney Children's HospitalGreater Eastern and Southern

South Eastern Sydney LHD
Illawarra Shoalhaven LHD
Northern Sydney LHD (Manly, Mono Vale, Royal North Shore)
Sydney LHD
South Western Sydney LHD (Bankstown, Bowral, Camden, Campbelltown, Canterbury)
Southern NSW LHD3
Murrumbidgee LHD4
Australian Capital Territory (ACT)

  1. Owing to proximity, referrals from the Northern NSW LHD may go to Brisbane.
  2. Owing to proximity, referrals from the Far West LHD may go to Adelaide.
  3. Owing to proximity, referrals from the Southern NSW LHD may go to Royal Children’s Melbourne.
  4. Owing to proximity, Albury Hospital maintains a clinical referral network with Victoria.

See also

References

  1. NSW Health (2010). Critical Care Tertiary Referral Networks & Transfer of Care (Adults). Sydney: NSW Health.

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