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Wound Services

Emergency Immediate transfer to the Emergency Department

If you believe your patient requires immediate attention, please phone 000 or refer your patient to the emergency department.

If any of the following are present or suspected, refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

Wounds of traumatic aetiology

  • Systemic inflammatory response symptoms (SIRS) or clinically unwell
  • Wounds with complex foreign body involvement and significant damage to associated surrounding structures including blood vessels, nerves, muscles, joints and tendons.
  • Wounds with associated compound fractures
  • Persistent significant bleeding not controlled with usual measures
  • Worsening pain and/or pain not in keeping with mechanism of injury
  • Initial acute burns should be managed as per ANZBA guidelines
  • Refer to Vascular High Risk Foot or Diabetic High Risk Foot

Arterial/ischaemic ulcer

  • Systemic inflammatory response symptoms (SIRS) or clinically unwell
  • Worsening pain and/or pain not in keeping with progression of the wound/ulcer
  • Sepsis or acutely unwell due to infection3
  • Acute or critical limb ischaemia with necrosis
  • Rapidly deteriorating ulceration or necrosis.3
  • Ulcers or wounds in a limb with markedly compromised circulation

High Risk Foot

  • Acute/Critical limb ischemia and non-palpable pulses or necrosis – Refer directly to  Princess Alexandra Hospital Emergency (PDF, 477.27 KB) urgently
  • Systemic inflammatory response symptoms (SIRS) or clinically unwell
  • Worsening pain and/or pain not in keeping with progression of the wound/ulcer
  • Progressive cellulitis despite initial treatment (defined by peripheral redness around the wound > 2cm)
  • Acute Charcot arthropathy if access to podiatry is not accessible within 48 hours
  • Wet gangrene

Stoma related wounds

  • Systemic inflammatory response symptoms (SIRS) or clinically unwell
  • Worsening pain and/or pain not in keeping with progression of the wound
  • Progressive cellulitis despite initial treatment
  • Suspected incarcerated hernia or underlying abscess
  • Suspected bowel obstruction resulting in non-functioning stoma
  • Persistent significant bleeding not controlled with usual measures
  • Stomal change in colour from red / pink to blue or black
  • Stomal prolapse causing circulatory compromise
  • Bleeding peristomal varices
  • Ongoing high output stoma and signs of dehydration

NB: If the problem is with the stomal appliance the patient can self-refer to stomal therapy nurse.  Patients not in contact with regular stomal therapy nurse/service can be referred by GP.

Pressure injury

  • Systemic inflammatory response symptoms (SIRS) or clinically unwell
  • Worsening pain and/or pain not in keeping with progression of the wound/ulcer
  • Pressure injury if causing systemic infection
  • Patients with spinal injuries should be referred to Spinal Outreach Team (SPOT)

Post-operative wound/dehiscence

  • Systemic inflammatory response symptoms (SIRS) or clinically unwell
  • Worsening pain and/or pain not in keeping with progression of the wound/ulcer
  • Prosthesis / metal work is on view
  • Purulent discharge with associated fevers

Are you referring to the right service?

Urgent referrals Arranging urgent review

For urgent Wound cases, please call the relevant Hospital switch and ask to speak to the Wound Care Service within business hours (Monday to Friday only).

Conditions referred through other specialties

See 'Are you referring to the right service?' For more detailed information

Clinic locations

FacilityClinics/services
Beaudesert HospitalOutpatient Wound Clinic - Alternate Friday's 0900-1200
Logan HospitalMonday to Friday
Princess Alexandra Hospital

Monday to Friday

QEII Jubilee HospitalService not available
Redland HospitalService not available

Out of scope services

No out of scope information at this time.

Out of Catchment

Metro South Health is responsible for providing public health services to the people who reside within its boundaries.  Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Last updated 4 January 2023