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The Vascular Surgery service for Central and Northern Adelaide is based at the Royal Adelaide Hospital (RAH), but consults and also operates at The Queen Elizabeth Hospital (TQEH) as well as several sites across the SA Health local networks based, on disease complexity and patient needs. We aim to provide care as close to the patient's home as possible.

All referrals are triaged based on clinical priority and nearest hospital appointment availability. Please advise patients at the time of referral that the site at which they are seen may vary depending on their urgency.

Please view the Vascular outpatient services in CALHN web page for more information.

Contact Details
RAH/TQEH, Outpatient Call Centre 1300 153 853	Fax number (08) 7074 6247
RAH Wayfinding: Wing 3F Area 3	RAH OPD Map
Lyell McEwin Hospital (LMH) (08) 8282 0255	Fax number (08) 8182 9499
Modbury Hospital (08) 8161 2262	Fax number (08) 8161 2591

Referral/Clinical Information

Clinical Categories/Process

Adult Triage Criteria for referral
Emergency
Referrer must contact Vascular on-call registrar at the RAH to discuss care or arrange potential urgent review via an emergency department	- AAA with history of back pain, abdominal pain or tenderness - AAA >7cm + symptoms - TIA/Stroke symptoms less than 2 weeks old - Critical Limb Threatening Ischaemia - Diabetic foot infection; erythema >2cm from wound edge - Iliofemoral/Upper DVT (confirmed duplex scan) - Carotid dissection - Aortic dissection - Superficial thrombophlebitis extending to within 5cm of the SFJ or SPJ and confirmed on ultrasound.
Category 1
Up to 30 days	- Neuropathic ulceration - Infected venous leg ulceration - Carotid body tumour - Asymptomatic AAA >5cm - Ischemic rest pain (CLTI) - Foot ulceration Requires appointment within 1 week: - TIA/stroke <2 weeks symptom period (combined with referral to TIA - Neurology clinic)
Category 2
Up to 90 days	- Arterio-venous malformation. - AAA <5cm - Vasospastic disorders - Short distance claudication <50cm - Chronic venous leg ulceration
Category 3
Greater than 90 days	- Hyperhidrosis - Claudication - Thoracic outlet syndrome (arterial, venous, neurogenic) - Superficial thrombophlebitis (confirmed with duplex scan) - Varicose veins - Asymptomatic carotid disease. Please note: varicose vein inclusion criteria includes the following: - Previous or active ulceration - Skin changes in keeping with chronic venous insufficiency (confirmed by duplex) - Bleeding veins - Unprovoked or recurrent DVT.

Fax referral to us

To make a referral:

Fax: (08) 7074 6247 Telephone: 1300 153 853

We accept GP and specialist referrals to this service. All referrals are triaged accordingly.

To refer your patient, follow the outpatient service information, triage and referral guidelines, complete and fax a referral to us.

For urgent referrals, please contact the vascular registrar on call to discuss your concerns. Our registrars are on call 24 hours a day 7 days a week.

Patients who are unstable and requiring immediate assessment should be sent directly to the Emergency Department after contacting the vascular registrar via Switch on (08) 7074 0000.

CALHN Vascular outpatient service information triage and referral guidelines (PDF 243KB)

To ensure appropriate and timely triage, include all demographic and clinical details as well as relevant investigation results.

Consulting specialists

Dr David King - Head of Unit RAH Vascular Unit
Dr Ewan Macaulay - RAH, Llyell McEwin Hospital (LMH) (sclerotherapy only)
Dr Michael Herbert - RAH, The Queen Elizabeth Hospital (TQEH), LMH, Murray Bridge and Whyalla
Dr Kurian Mylankal - RAH, Modbury, LMH and Wallaroo
Dr Joseph Dawson - RAH, TQEH and Port Lincoln
Dr Conor Marron – RAH, LMH and Gawler
Professor Fitridge - TQEH
Dr Peter Subramaniam - TQEH
Dr Sharon Hong - RAH and TQEH

Multi-disciplinary Foot Clinics

Multidisciplinary Foot Clinics are held at RAH, LMH & TQEH to assess people with complex diabetic foot issues with combinations of biomechanical, neuropathic, ulceration, infection and ischemia.

Referrals can be faxed to the Allied Health departments RAH/TQEH Fax (08) 7074 6247 or LHN Fax (08) 8182 9440

For all enquires please contact the podiatry department of the relevant hospital; out of hours calls can be directed to Vascular on-call via RAH switchboard (08) 7074 0000

Additional clinical information

Claudication

Please note that all claudicants should be advised to stop smoking, and commenced on both a statin and antiplatelet agent before referring for review.
We also provide Vascular Rehab program for Claudicants to assist in risk factor and symptom management at the RAH. Transport for this clinic for participants is free.
If the patient is interested in this please state this in your referral.

Varicose Veins

A Venous duplex scan identified in subsection clinical categories/process should also be provided at the point of referral.
Inappropriate referrals will be declined for treatment in public health and will not receive an appointment.
Compression hosiery is not provided by the RAH.
Compression can be sourced after an ABI or toe pressure has been completed.
Patient are expected to purchase and supply their own garments for ongoing management of venous disease and lymphoedema.

Lymphoedema

Lymphoedema management without ulceration is best managed by the physiotherapy Departments at TQEH & LMH.
Compression hosiery is not provided by the RAH.
Compression can be sourced after an ABI or toe pressure has been completed.
Patient are expected to purchase and supply their own garments for ongoing management of venous disease and lymphoedema.
Please direct any lymphoedema referrals directly to the Allied Health Department (TQEH) Fax (08) 8222 6621 or (LMH) Fax (08) 8182 9440.

Is the emergency department the best place for you?

Vascular surgery

Referral/Clinical Information

Additional clinical information

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