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.

Referrals

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.
416-864-5678
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
416-864-5131
Fax: 416-864-5716
8:00 a.m. to 4:00 p.m.

Referrals

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

Referrals

  • 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
416-864-5725
Clinical leader manager: Liz Butorac

Inpatient Unit
9th Floor Cardinal Carter Wing
416-864-5814
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
aneurysmsupport@smh.ca
416-864-6060 ext. 7168

Last updated June 09, 2021