Critical Care, Trauma and Perioperative Medicine

Overview

Monash Partners provides a fifth of Victoria’s critical care beds and nearly one third of the State’s intensive care unit (ICU) beds. These operate across Alfred Health, Monash Health, Eastern Health, Peninsula Health, Epworth HealthCare and Cabrini Health.

Monash Partners houses the largest trauma service in Australia – The National Trauma Research Institute. The services are predominantly located at Alfred Health, with links to Epworth (for rehabilitation services), and Monash Health. 

As one of Australia’s top performing trauma, surgery and critical care services, The Alfred team leads Monash Partners activities that have delivered risk-adjusted improvements in trauma mortality of more than 50 per cent and reduced trauma disability, using an integrated approach to improving outcomes through evidence.

We are pleased to have national recognition for long-term follow-up of patients recovering from major trauma, burns, orthopaedic trauma, out of hospital cardiac arrest, critical care, anaesthesia, and surgery through registries and large international clinical trials. We are home to the Australian and New Zealand Intensive Care Research Centre (ANZICS RC), the Australian and New Zealand College of Anaesthetists Clinical Trials Network (ANZCA CTN), CRE in Prehospital Care (PECANZ) and the Paediatric Research in Emergency Departments International Collaborative (PREDICT).

Our talented researchers cover critical care, trauma, anaesthesia and perioperative medicine, emergency surgery, psychology and rehabilitation, physiotherapy, and laboratory research related to bleeding disorders and therapies.

Our Priorities

Our aims and priorities for the Critical Care, Trauma and Perioperative Theme are to:

  • Leverage Alfred Health’s ICU initiated extracorporeal membrane oxygenation (ECMO) service into a research network using the international ECMO registry (ELSO)
  • Develop international perioperative medicine guidelines for endpoint definitions in large clinical trials; e.g. organ injury/failure and disability-free survival
  • Continue progress on four multicentre clinical trials investigating treatments to improve quality of recovery and reduce complications after major surgery
  • Facilitate improved enhanced recovery programs for hip and knee replacement surgery
  • Trauma Systems development, we are leading national and international efforts to:
    • Reduce injury burden through the MAIN (Monash Alfred Injury Network) 
    • Improve prehospital and emergency care of critical illness through the Centre for Research Excellence on Prehospital Care and associated centres 
    • Improve blood transfusion science and practice through the Centre of Research Excellence in Patient Blood Management in Critical Illness and Trauma
    • Improve blood transfusion science and practice through the Centre of Research Excellence in Patient Blood Management in Critical Illness and Trauma.

Critical Care, Trauma and Perioperative Medicine Theme Leader

The Theme is led by Professor Peter Cameron.

Professor Peter Cameron

The Critical Care, Trauma and Perioperative Medicine Theme is led by Professor Peter Cameron, who is Academic Director of The Alfred Emergency and Trauma Centre. Peter is also Professor of Emergency Medicine and Divisional Head of Health Services Research at Monash University’s School of Public Health and Preventive Medicine.

Our Steering Committee

The Critical Care, Trauma and Perioperative Medicine Steering Committee brings together experts and research from across Monash Partners. This includes the National Trauma Research Institute, the Department of Anaesthesia and Perioperative Medicine and the Australian and New Zealand Intensive Care Research Centre.

Alongside Peter is a well-respected team of committed anaesthesia, emergency and critical care specialists who share his vision and passion.

Associate Professor Jonathan Barrett
Professor John Botha
Professor DJ (Jamie) Cooper 
Dr Simon Craig 
Associate Professor Carol Hodgson
Professor Robert Medcalf 
Professor Paul Myles
Professor Jennie Ponsford
Dr John Reeves 
Associate Professor Owen Roodenburg 
Professor Jonathan Serpell 
Professor Yahya Shehabi 

 

Professor Paul Myles, director, Department of Anaesthesia and Perioperative Medicine at The Alfred hospital and Monash University.

Research Programs

The scope of the Critical Care, Trauma and Perioperative Medicine Theme is vast and includes the following large-scale projects:

ITACS Trial
IV iron for the treatment of anaemia in cardiac surgery.

RELIEF Trial
Restrictive vs. liberal fluids in major abdominal surgery.

PATCH study
Prehospital treatment with tranexamic acid

EXACT study
Titrated vs 100% oxygen following cardiac arrest

A further funded collaborative activities delivered across Monash Partners includes an NHMRC Translational Research Project for Improved Health Care Grant for ‘Predicting disability-free survival to inform better care and outcomes in high-risk patient groups’. 

Collaborators on this include Dr Carol Hodgson, Professor D. Jamie Cooper, Professor Paul Myles, Professor Helena Teede, Professor Wendy Brown, Associate Professor Michael Bailey, Dr Mark Shulman, Professor Rinaldo Bellomo, Professor John McNeil, and Ms Alisa Higgins.

The project is being conducted across five Monash Partner organisations: Alfred Health, Monash Health, Cabrini Health, Epworth HealthCare, and Monash University.