Trauma – Mission and Programs

Mission

• To provide excellent trauma care
• To maintain a high level of expertise
• To ensure rapid accessibility for all patients to the MCH Trauma services
• To assist patients and their families in understanding the impact of the injury and the expected course
• To assist children and teens in achieving their maximum functional potential during the early stages of recovery
• To provide coordinated patient-focused care in conjunction with other institutions in the healthcare consortium in order to assure timely continuum of care
• To provide academic teaching and clinical training
• To be leaders in pediatric and adolescent trauma research
• To monitor trends and play a leadership role in the development of strategies for targeted injury prevention, public awareness, advocacy and lobbying
• To be available as an expert community resource and develop strategic alliances with others sharing a common goal in advocating for the needs of the children and teens of Quebec

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Programs

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Affiliated Programs

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History

1989

• Developed 1st inter-professional Pediatric Neurotrauma Program in Quebec and Canada. Included all types and severity of Neurotrauma. Became the model for future Trauma Programs nationally and internationally.
• 1^st edition of the Neurotrauma Handbook (used province-wide)

1993

• Provincial designation as a Pediatric and Adolescent Trauma Centre.
• 2^nd edition of the Neurotrauma Handbook (used provincially, nationally and internationally)

1997

• Provincial designation as a Pediatric and Adolescent Trauma Centre.
• 2^nd edition of the Neurotrauma Handbook (used provincially, nationally and internationally)

2000

• Re-organized and expanded Trauma mandate to include all types and severities of trauma under one program
• Developed hospital-wide clinical protocols to standardize the management of all types and severities of trauma
• Developed assorted educational resources diffused to community partners and other health professionals and trainees

2001

• MSSS designation Neurotrauma Centre of Expertise
• Clinical and academic teaching of health professionals training in the faculty of medicine
• Implemented monthly Trauma Rounds Educational Series (Inter-professional)

2002

• Expanded Burn Trauma Program
• 1st Trauma Centre in Canada to report rise in concussions in minor hockey
• Diffusion of timely trauma and injury prevention information to media
• Implementation of early hip spica for femur fracture; reduced length of stay

2006

• Expanded Injury Prevention Mandate –Created Official Program.
• Re-organized & developed Multi-level Emergency Trauma Response System. (1010/2020)
• Implementation of Inter-professional Trauma Activation Quality Review Process
• Development of extracorporeal membrane oxygenation (ECMO) Program

2007

• Certified as a WHO health promoting hospital
• Developed MTBI and Return to Sports Program; ambulatory shift to care, decreased need for hospitalization
• Publication of the 1st edition Concussion KiT
• Expanded Trauma Research mandate, created official Program

2008

• Expanded Concussion Clinic; community out-reach education programs and resources
• Purchase of transportable mini fluoroscopy machine facilitating close reductions in ER & Clinic

2009

• Developed many community outreach projects & partnerships
• Developed and launched MCH Trauma Website
• Developed and launched bilingual MCH Trauma Website (recipient of multiple awards)

2010

• Implementation of the Focused Assessment with Sonography in Trauma (FAST) in the Emergency Department

2011

• Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) integrated into MCH Trauma System close collaboration with Injury Prevention Program
• Further expansion of Trauma Research Program

2012

• Expansion of inter-professional MTBI Program/Concussion clinic. Concussion education to community partners and provincial health professionals
• Use of the Bier Block for management of upper extremity fractures in Emergency Department

2013

• Further expansion of MTBI Program to include vestibular rehabilitation
• Publication of 2^nd edition of MCH Concussion KiT
• Publication of 3^rd edition of Neurotrauma Handbook

2014

• Cited by MSSS/INESSS TCC léger management guidelines
• Implementation of Trauma Team Leader (TTL) Program
• Publication of Burn booklet

2015

• New site of Trauma Centre (moved to 1001 Decarie Boulevard) and opening of the new Concussion clinic
• Development of Post-Traumatic Headache Management Protocol for community MDs & Emergentologists and other health professionals
• Development of “Is the Thrill Worth It?” High School Program

2016

• Ongoing development and expansion of Trauma Research Program

2018

• Publication of 3rd edition MCH Concussion KiT
• Hosted Trauma Resuscitation in Kids (TRIK) course for eastern Canada

2019

• Participation in the MSSS algorithm for concussion management

2020

• Telemedicine patient care

2021

• Remote patient consultation

2022

• Hybrid clinical care delivery model

2023

• Publication of 4th edition of the MCH Concussion KiT