Neurosciences & Trauma

Dr. Papaioannou talking with a senior


The Hamilton General Hospital serves as the Regional Trauma Centre, the Regional Stroke Centre and Regional Neurosurgical Centre for Central South Ontario (including the Hamilton Niagara Haldimand Brant LHIN and Waterloo-Wellington LHIN), serving adults in an area of 2.2 million residents.

We are regarded as being a leader in stroke care provincially and nationally. Hamilton General Hospital is one of five Neuroscience Centres in the province which has been designated for minimally invasive neurosurgical procedures.

The Regional Neurosciences and Trauma Program also provides administrative leadership and area-wide coordination of care in the following areas:

Central South Regional Stroke Program

The Regional Stroke Centre for the Central South Ontario Region is located at Hamilton General Hospital with the mandate to provide tertiary level stroke care within the Central South Ontario Region. It is one of 11 regional centres established across the province to implement the Ontario Stroke System.

The goal of the Ontario Stroke System is to improve access to evidence-based prevention and care in order to reduce stroke incidence, mortality and residual disability. The system seeks to re-organize stroke-care delivery across the continuum of care, promoting system-change, professional education and public awareness.

Visit the Central South Regional Stroke Network website for more information.

Contact Information

Phone: 905-521-2100 ext 46049

Fax: 905-577-1455

Neurosurgery Education and Outreach Network (NEON)

Hamilton Health Sciences is a member of the Neurosurgery Education and Outreach Network (NEON), which is a neurosurgery education support program reporting to the System Capabilities Working Group, a sub-group of the Provincial Neurosurgery Advisory Committee (PNAC) supporting system-wide improvements for Ontario’s neurosurgery services. NEON also works in collaboration with Critical Care Services Ontario (CCSO), which is the managing body responsible for the overall program implementation of initiatives of the Ontario Critical care strategy.

NEON members are dedicated to neurosurgery nursing program implementation and will support system wide improvements through education and outreach in hospitals throughout Ontario (NEON Terms of Reference, revised April 17, 2018).

NEON, through Hamilton Health Sciences, is dedicated to support patient management, develop repatriation strategies, as well as to assess and enhance the neurosurgical skill set of our community partners. Our NEON team provides expertise in neurosurgical care as well as assists with the development of neurosurgical nursing protocols and care practices which help to improve quality of care within our neurosurgical and Spine center and our referring non-neurosurgical and non-spine community partners.

Contact Information

NEON is comprised of Neurosurgery Nurse Educators (NNE) and Clinical Outreach Specialists/Advanced Practice Practitioners (CNS) from each neurosurgery center, supported by hospital administrators.

The representatives for Neurosurgery Education and Outreach Network at Hamilton Health Sciences are:

Neuro Nurse Educator (NNE)
Brenda Bousfield

Clinical Outreach Specialist/ CNS
Deb Anstee
Contact: 905-979-6316
Fax: 905-577-1403

Director, Neurosciences
Louise MacRae
905-521-2100 ex. 36830

Neon Resources

CCSO and CritiCall
Critical Care Services Ontario
CCSO Neurosurgery
Emergency Management and Transfer of Cranial Cases
Emergency Management and Transfer of Spinal Cases
CCSO Ontario Critical Care Plan 2018-2021
Ontario’s Critical Care System Priorities: 2022 to 2024

CCSO Neurosurgical Guidelines
Neurosurgery Consultation Referral Guidelines
Guidelines for Basic Adult Neurological Observation
Guidelines for Pediatric Neurological Observation
Guidelines for Adult Spinal Cord Assessment
Acute Spine Consultation Referral Guidelines

Educational Resources
GCS Video: Glasgow Coma Scale
Guidelines for Basic Adult Neurological Observation E-Learning Module
Subdural Hematoma Education
Subarachnoid Hemorrhage (SAH) Education
Post op Complications Following a Craniotomy
Care of Patient post Craniectomy (no Bone Flap) Guide and Toolkit
Intracranial Pressure (ICP) – Causes, Concerns and Management Guide and Toolkit
Spinal Orthoses
Nursing Care and Management of a Patient with a Halo Device
Care of Cervical Orthosis Devices and Collar Care

Related Links
Brain Tumour Foundation of Canada
Spinal Cord Injury Canada  
Spinal Cord Injury Ontario 
Critical Care Services (CCSO)