Spinal Trauma Referral
This pro-forma is for referral of a spinal injury to the BSUH Spinal Surgeons only (Mr Cass and Mr Karmani). It is only to be used in relation to referrals made to them.
The pro-forma should be filled in as completely and accurately as possible. Failure to complete may mean return of the form.
The mandatory ASIA exam & score should be performed by the most senior and experienced doctor available.
The completed pro-forma should be forwarded after verbal discussion with one of the following:
Monday-Friday 8.00am - 5.00pm: Trauma Co-Ordinator (Bleep 8165 @ Royal Sussex County Hospital)
Weekends and 5.00pm - 8.00am: On-Call Orthopaedic Registrar at RSCH
The fax/email address for forwarding will be given by the above.
Do NOT forward directly to Mr Cass or Mr Karmani unless instructed to do so.
Please note that receipt/acceptance of the pro-forma is NOT an acceptance of the patients, nor does it constitute a transfer of care.
Click the link below to download the referral form:
Minimal Data Set for Spinal Trauma Referral to BSUH Spinal Surgeons