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Trauma and Neurosurgery

Unity Health’s Trauma and Neurosurgery program is one of the largest and most comprehensive in Canada. The trauma team is composed of multidisciplinary specialists and services including the blood bank, sophisticated medical imaging department and operating rooms immediately available to patients 24-7.

Trauma and Neurosurgery at St. Michael's Hospital

Accredited as a Level 1 trauma centre by the Trauma Association of Canada in 2006, the trauma program at St. Michael’s assumes the following responsibilities:

  • The provision of a leadership role in the provincial trauma system
  • An advisory role within the provincial trauma network
  • An advisory to the Ministry of Health on the provincial trauma system
  • A central role in the regional trauma system
  • Care to the majority of the multisystem trauma patients in the region (Southern GTA and South Central Ontario)
  • Complex and unique (quaternary) trauma services for the province
  • Academic leadership including trauma training and research programs

The Head Injury Clinic is the largest of its kind in Ontario with 2,000 patient visits per year. This clinic provides assessment, diagnosis and management of physical, cognitive and behavioural/psychological symptoms for patients who have sustained mild and moderate traumatic brain injury (mTBI). The clinic is run by a multidisciplinary team including physiatrists, neuropsychiatrist, neuro-otolaryngologist, RN clinical coordinator, social worker, cognitive speech-language pathologist, and research associate.

Goals of the Head Injury Clinic:

  • Early Assessment, diagnosis and comprehensive medical management (pharmacological and non-pharmacological) of TBI and related disability
  • Coordination of community supports and rehab services
  • Provide reintegration support for patients returning to work/school
  • Collaborate with other providers across the system to best meet patient’s needs (OHIP and third party-funded services)
  • Provide education related to mTBI to patients /family to guide them in their recovery
  • Serving a unique patient population, this clinic is committed to providing excellence in care and effective treatments. Patients are referred directly from the Trauma Neurosurgery Department, Emergency Department and Family Practice at St. Michael’s.

3rd Floor Donnelly Wing South
To book or cancel appointments: 416-864-6060 ext. 46359
For queries and concerns: 416-864-5520
Clinic Hours: Tuesday, 8 a.m. to 4 p.m.
Office Hours: Monday, Wednesday to Friday, 8 a.m. to 4 p.m.


The neurosurgery service at St. Michael’s is a busy inner city urban practice and one of 11 adult neurosurgical centres in Ontario. The Division of Neurosurgery distinguishes itself by providing neurosurgical care to patients with:

  • Brain and spinal tumours
  • Complex skull base lesions including pituitary tumours
  • Spinal stenosis, spinal fractures and spinal cord injury
  • Brain hemorrhages
  • Neurovascular disease

3rd Floor Donnelly Wing South, 30 Bond St.
Fax: 416-864-5790

The Neurovascular service provides highly specialized endovascular services for neurovascular disease including:

  • Coiling/stenting of aneurysms
  • Carotid artery stenting
  • Vascular malformation management

Neurosurgery Clinic, 3rd Floor Donnelly Wing South
Fax: 416-864-5716
8:00 a.m. to 4:00 p.m.


The Trauma Clinic at St. Michael’s is a Nurse Practitioner-led, post-injury assessment clinic for trauma patients who have received treatment in the emergency department or have been admitted to the hospital. The Trauma Clinic provides follow up care for patients who have sustained single and multi-system injuries related to motor vehicle collisions, gun violence, self-harm, falls or been injured in their place of work. Our team consists of nurse practitioners, nurses, social work and psychiatry.

Goals of the Trauma Clinic:

  • Provide patients with comprehensive assessments to evaluate their physical, functional, cognitive and psychological recovery after injury
  • Identify and provide early intervention to optimize post-trauma and injury outcomes
  • Enhance collaboration with community teams to strengthen wrap around care
  • Improve access to care and services after discharge that include: wound care, pain management, screening and referrals to specialty clinics and programs

4 CC Specialty Clinics
416-864-6060 ext. 6037
Fax: 416 864 6015
Wednesday, 1 p.m. to 4 p.m.
Larissa Bertrand, Clinic Administrative Assistant


  • Internal referral only from Emergency Department or in-patient Trauma Ward or ICU providers
  • Not accepting external referrals

The Trauma and Neurosurgery Intensive Care Unit (TNICU) provides traumatic and neurosurgical care to patients from across the province.

9th Floor Donnelly Wing
Clinical leader manager: Liz Butorac

Inpatient Unit
9th Floor Cardinal Carter Wing
Clinical leader manager: Shannon Swift

The Brain Aneurysm Support Group is dedicated to helping:

  • Brain aneurysm survivors
  • Caregivers
  • Family and friends

Due to the COVID-19 pandemic, meetings are currently being held virtually (online).

For more information, please contact:

Denise Ouellette
Clinical Nurse Specialist, Neurosurgical Outreach Activities

Coordinator, Brain Aneurysm Support Group
416-864-6060 ext. 7168

Information to help you understand how your pituitary disorder will be diagnosed and treated at St. Michael’s Hospital.

Go to Pituitary Innovation and Teaching page

Did you suffer a traumatic injury?

Were you:

  • In a car crash?
  • Injured at work?
  • Injured in a fall?
  • Injured on your bike?
  • A pedestrian struck by a vehicle?
  • A victim of a violent attack?

Are you:

  • Trying to figure out what happens next?
  • Wondering how you will cope with your life?
  • Wondering how your life will change?
  • Worried about what you need to do?

Monthly support group meetings are open to any interested participants who have sustained or been affected by traumatic physical injury.

Zoom meetings are held monthly on the last Tuesday of the month from 7 p.m. to 8:30 p.m. Upcoming meetings:

  • Tuesday April 25, 2023
  • Tuesday May 30, 2023
  • Tuesday June 27, 2023
  • Tuesday July 25, 2023
  • Tuesday Aug. 29, 2023
  • Tuesday Sept, 26, 2023
  • Tuesday Oct. 31, 2023
  • Tuesday Nov. 28, 2023

Zoom meeting link:

Meeting ID: 952 0021 8879
Passcode: 871467

For more information, please email


The Advanced Trauma Life Support (ATLS) course teaches a systematic, concise approach to the immediate management of the trauma patient. ATLS has been taught to more than 1 million doctors worldwide and provides a common language that can save lives in trauma situations. This 1.5 day Hybrid course includes 13 online modules that allow learners to study at their own pace prior to attending the hands-on course.

Course dates:

June 23-24, 2023
July 21-22, 2023
August 18-19, 2023
September 15-16, 2023
October 13-14, 2023
November 17-18, 2023

Course fees:

Resident – $1300
Physician – $1600
Auditor – $300

For more information or to register, please contact Anthie Dimoglou at or 416-456-8216.


The Advanced Trauma Care for Nurses (ATCN) course teaches well-established treatment methods and approaches trauma care in a systematic manner, presenting to the nurse a concise method of establishing assessment and management priorities in the care of the trauma patient. This 1.5 day Hybrid course is comprised of 13 online modules that learners may complete at their own pace. After completing these modules, learners will proceed to the course site to complete the hands-on skills portion of the course.

Course dates:

June 19-20, 2023
October 27-28, 2023

Course fees:

RN – $550
Auditor – $250

For more information or to register, please contact Anthie Dimoglou at or 416-456-8216.


The Advanced Surgical Skills for Exposure in Trauma (ASSET) course is a one day cadaver-based course that presents key surgical exposures in five anatomic areas: neck, chest, abdomen and pelvis, and upper and lower extremities. Low student-to-faculty ratio allows for extensive faculty guidance during the hands-on portion of the course.

Course dates:

May 10, 2023

Course fees:

Surgical Resident/Fellow – $1000
Practicing Surgeon – $1250

For more information or to register, please contact Anthie Dimoglou at or 416-456-8216.


The Advanced Trauma Operative Management (ATOM) course increases surgical competence and confidence by teaching proper operative techniques for penetrating injuries. This one day advanced surgical course is intended for senior surgical residents, trauma fellows, military surgeons and general surgeons that would like to improve their skills in treating penetrating injuries.

Course dates:


Course fees:


For more information or to register, please contact Anthie Dimoglou at or 416-456-8216.

Last updated May 29, 2023