Neurosurgery Consultation Referral Guidelines
Interactive Web-Based Version (Version 2.0, December 2018)
This is an interactive web-based version of the revised Neurosurgery Consultation Referral Guidelines that Critical Care Services Ontario (CCSO) released in March 2018. The guidelines are the product of extensive collaboration among neurosurgeons, emergency physicians, and hospital administrators across the province. This tool was developed by Dr. Richard Moulton, a neurosurgeon at The Ottawa Hospital.
This is a practical and educational tool to help providers at hospitals without a neurosurgery program determine whether to request an urgent neurosurgery consultation or referral via CritiCall Ontario. CCSO welcomes user feedback on this tool: Please click here to submit your comments.
The clinical and imaging criteria and associated algorithms are intended as guidelines only. Please rely on your clinical judgement for each individual patient encounter.
The guidelines and algorithms are dependent on CT and/or MRI imaging availability and interpretation. If imaging is not readily available for a critically-ill patient, contact CritiCall Ontario immediately: 1-800-668-4357.
The guidelines and algorithms are only for the most common neurosurgical and spinal emergency conditions and do not include abnormal systemic issues (such as thrombocytopenia or abnormal blood coagulation). For patients who have uncommon systemic issues, contact CritiCall Ontario immediately.
Patients with head trauma and spinal injuries who may have also suffered other systemic injuries should be directed to a trauma centre via CritiCall Ontario.