The Tracheostomy Review and Management Service (TRAMS) is an innovative consultative multidisciplinary specialist service at Austin Health. Since 2001, this expert team of doctors, nurses, physiotherapists and speech pathologists has managed thousands of patients who have a tracheostomy tube both in the hospital and into the community.

Recognition for TRAMS include:

  • Global Tracheostomy Collaborative: Trailblazer Award (2018)
  • Austin Health Consumer Engagement Award: Highly Commended (2018)
  • Victorian Disability Sector Awards: ‘Excellence in Improving Health Award –
    Highly Commended’ (2015)
  • Victorian Health Care Awards: “Innovations in Models of Care” (2005)

Photos and Credentials

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Dr Naomi Atkins

MBBS (Hons); M Bioethics; FRACP TRAMS Medical Director, Respiratory and Sleep Physician

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Prue Gregson

B Speech Pathology;
M Health Administration;
Manager TRAMS
Senior Clinician Speech Pathologist

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Joanne Sweeney

B App Sc (Speech Pathology);
M App Ling
Manager Speech Pathology

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Associate Professor Stephen Warrillow

The Department of Intensive Care,
Austin Health Director,
Critical Care Institute,
Epworth HealthCare
Assoc. Professor, Austin Precinct
Department of Surgery,
The University of Melbourne
Past President, The Australian and
New Zealand Intensive Care Society

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Dr Jon Graham

Joint Director Airway and
Simulation, Department of
Anaesthesia Austin Health
TRAMS Anaesthetics Liaison

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Mr Matt Campbell


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Professor Mark Howard

Director Victorian Respiratory
Support Service (VRSS),
Respiratory and Sleep Physician

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Matt Macaulay

B Nursing;
M Nursing
Clinical Nurse Consultant, TRAMS

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Quevy Vu

B Sc (Nursing)
Clinical Nurse Consultant, TRAMS

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Renee Bartlett

B Sc (Nursing);
Post-grad Cert Crit Care
Clinical Nurse Consultant, TRAMS

Kim Cameron

B Sc (Nursing);
Clinical Nurse Consultant, TRAMS

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Stephanie Biffarro

B Physio
Senior Clinician Physiotherapist TRAMS and Spinal

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Ally Macdonell

Senior Physiotherapist,
ICU and Physiotherapy Research, TRAMS

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Lucy Bonakdar

B Speech Pathology;
M Applied Positive Psychology;
Senior Speech Pathologist

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Hannah Verspuy

B Physiotherapy (Hons);
B Science;
Senior Physiotherapist;
Respiratory & TRAMS

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Vanessa Romanovski

Administrative Assistant

Specialist Tracheostomy Services at Austin Health

The TRAMS team works closely with and collaborates with all specialist tracheostomy services at Austin Health including:

The Austin Health ICU cares for a broad and complex range of critically ill medical and surgical patients. A world leader in critical care research, the ICU is a major contributor to innovation in clinical practice.

The VRSS is a state-wide specialist service providing expert, multidisciplinary services to adults with chronic respiratory failure who need to use a ventilator. The VRSS is a national leader in home ventilation and actively fosters research and education in the area of chronic ventilatory failure.

The VSCS is a comprehensive state-wide service that provides continuous care from emergency and acute care to rehabilitation community re-integration and support services for people with spinal cord injuries