The Dr. David S. Mulder Trauma Centre is one of only three Level 1 adult trauma centres in Quebec and the key treatment centre for people with the most complex and serious injuries. Every year, we treat over 1,500 patients coming in with complex casualties mainly caused by vehicle crashes, falls, bike or pedestrian accidents, as well as stabbings and gunshot wounds. We serve all adults south of Highway 40 as well as the Montérégie region and Northern Quebec, including the Cree and Inuit communities, covering a wide territory of over two million people.
On May 26, 2016, the Montreal General Hospital (MGH) held a Code Orange disaster simulation
training session. In this scenario, a train crashes in Saint-Henri causing multiple casualties. As part of the exercise a mental health multidisciplinary team, composed of psychiatrists, psychologists, social workers, spiritual care specialists and volunteers, was activated along with the trauma team, and put to the test. Such training and emergency expertise are vital in light of tragic events like the Polytechnique and Dawson shootings.
The Injury Prevention Program’s goal is to decrease risky behaviour and traumatic injury. It promotes prevention through collaborative partnerships, presentations, workshops, kiosks, campaigns and community events.
The MGH plans to acquire a new CT scanner (computed tomography scanner) and renovate the room where it is located. The CT scanner is crucial in meeting the needs of the Emergency department and its trauma mission, meaning that it is in operation 24/7/365 ! It is also used as a service corridor to provide assistance to other Montreal hospitals. In total, the CT scanner performs more than 8,000 scans per year.
Specializing in acute neurotrauma and early rehabilitation, the MGH multidisciplinary Traumatic Brain Injury (TBI) Program treats over 1300 inpatients and outpatients each year from Montreal, Montérégie and northern Quebec. It closely follows them from their admission to their discharge and has a rigorous protocol to ensure the most appropriate aftercare. It also ensures the continuity of care with the help of its health network and community partners. Most of its patients are polytraumatic (suffer from multiple injuries), so there is a holistic approach to treatment that looks beyond the brain trauma. Additionally, the team treats the highest number of “complex cases” in Quebec; almost 50% of their patients have associated pre-traumatic conditions such as psychiatric disorders, homelessness and substance abuse.
A new MRI machine will be acquired thanks to the contributions of the Max Pacioretty Foundation and the Canada Foundation for Innovation. This new MRI machine will help detect minor to severe signs of brain damage through extremely precise imaging. Without the proper equipment, detecting a concussion can sometimes be very difficult, depending on how apparent symptoms may be. Due to symptoms being qualitative (patient self-assessment of the way he or she is feeling), it can be a challenge to detect mild cases.
The MGH has a strong Mental Health Mission. The Psychiatry Department is responsible for treating some of the province’s most complex patient cases, and receives around 50,000 outpatient visits and around 500 inpatients annually.
In April 2015, the MGH expanded emergency services for psychiatry patients with the opening of the MUHC’s Psychiatric Emergency Unit. This state-of-the-art facility is fully equipped with trained psychiatrists, nurses, social workers and other health professionals as well as interview rooms, single patient rooms and isolation rooms. It is a healing environment that was most needed for patients requiring immediate assessment and treatment. In March 2016, the Unit was officially named the Jacqueline G. Angus Mental Health Emergency Unit in honour of Jacqueline Angus and the Angus family’s continued major support for Mental Health.
The Recovery Transition Program is aimed at improving patients’ experiences through their trajectory of care and enhancing long-term recovery by reducing relapses and readmissions, while improving quality of life. This is achieved by creating a new program of services –delivered by trained volunteer Peer Mentors – that supports recovery and promotes self-management practices among patients and family/caregivers during the transition from institutional care to the community.
When used by professional therapists in all of its facets, music has the ability to heal. Le groupe MusiArt was created at the MGH to improve and maintain mental health through creative expression while increasing well-being, self-esteem and concentration. It is made up of patients accompanied by music therapist Dany Bouchard. In 2016, Blues musician Antony Gomes came by the hospital for a jam session and provided, via his foundation, Music is the Medicine, music-listening stations and new equipment for the music room of the psychiatric unit.
The McGill Thoracic Surgery program based at the Montreal General Hospital is the only program to have attained the Minister of Health’s Level 4 designation for Lung Cancer, indicating that it offers the highest standards of integrated patient care, research, and education in Quebec.
This program also demonstrates a high level of innovation, including a recent move toward minimally invasive surgery for lung and esophageal cancer.
We have seen dramatic growth over the past five years as the government has centralized thoracic surgical services at the MGH for the entire McGill region and beyond, encompassing nearly a third of the Quebec population.
Thanks to fundraisers and donors, the MGH will be able not only to maintain these advanced services for all Quebecers, but also to remain at the forefront of new research programs in the future.
The goal of the ERAS concept is to maximize all the benefits of surgery while minimizing the negative impact related to the injury of surgery. ERAS involves a multidisciplinary approach including surgeons, anesthesiologists, medical consultants, nutritionists, physical therapists and psychologists, to prepare the patient throughout the entire trajectory of care starting from the initial visit to the surgeon through full recovery.
Surgeons at the MGH have a worldclass reputation in minimally invasive surgery. Diabetes, which is often the result of obesity, has become a major public health challenge. Building on our expertise in minimally invasive and upper gastrointestinal surgery, our Department of Surgery has now established a major program for bariatric surgery, which has been found to be the only treatment to actually reverse diabetes and prevent the complications associated with this disease.
The Peri Operative Program (POP) is based on a simple concept: the better shape you are in going into surgery, the faster your recovery will be after surgery, and pre-habilitation is the key. POP is based on three pillars: physical training (aerobic fitness, resistance training for strength, flexibility); nutrition (greatly increased protein intake); and psychological counselling. The program uses “the science of athletes” to achieve results. To help patients stick to this home-based program, they are supervised by experts, including a nutritionist and a kinesiologist.
The Division of Orthopaedics at the MGH is known as a leader in the treatment of spine, trauma, tumour, arthroplasty and sports surgery. Many critical orthopaedic patients are referred to the MGH because of the extensive expertise of the staff at the Orthopaedics department. On average, 150 to 200 new consults are sent to the department every week.
The Division of Cardiology provides multi-disciplinary integrated care from the primary to the quaternary level. As a Level 1 trauma centre, the MGH places great emphasis on advanced cardiac care. Equipped with the most advanced critical care equipment, the Unit was designed in conformity with the higher standards of modern innovative hospitals.
The Division of Geriatric Medicine has a consult team to respond to the needs of frail patients from the moment they enter the emergency room until their discharge. Our clinic evaluates and treats elderly persons with physical and cognitive impairment, while working with community services to maintain them safely in their homes.
Operated by the Division of Geriatric Medicine, the Falls and Mobility Assessment Clinic provides subspecialized and interdisciplinary assessment of gait and falls risk in elderly persons with the aim of preventing falls or the recurrence of falls in those who have already experienced a prior event. The emphasis is on patient and family education with recommendations from members of the interdisciplinary team.
The environment is both academic and researchintensive. The division remains at the forefront of endoscopic advancements with highly specialized technical procedures. The MGH GI Division is unique for its Inflammatory Bowel Disease (IBD) Program.
In 2016, the MUHC’s IBD Centre of Excellence was inaugurated on the 16th floor of the MGH. It is the first stand-alone IBD Centre of Excellence in North America, and along with follow up care, helps in emergency scenarios as well. During weekday hours, members of the IBD team are on-hand to provide care to help urgent cases.
The Division of Ophthalmology is a leading eye care centre staffed by specialists who work collaboratively on complex research and clinical issues. Our current group of ophthalmologists includes
specialists in cornea and external disease, refractive surgery, ultrasound, and medical and surgical retina. In addition, most of our clinicians perform cataract and other eye surgeries.
Research has been and continues to be a priority of the MGH Foundation. Thanks to support by our generous donors, we are able to present more than 80 Research Awards to leading medical and nursing clinical researchers at the Annual Research Awards. This has contributed to the recruitment and retention of internationally recognized clinician/ researchers.
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