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| *''A cardiac arrest patient must be successfully resuscitated to be considered as admitted to the unit, meaning a period of time, say 30 minutes, without requiring CPR.
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| Therefore patient's who are admitted DOA (dead on arrival) or those in unit less than 30 minutes who pass away, should not be included in database.''
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| As per Dr. Dan Roberts
| | [[Category: Cardiovascular Problems (old)]] |
| Medical Director, Medicine Program, WRHA
| | [[Category: Diagnosis Coding (old)]] |
| '''September 16, 2008'''
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| {{Discussion}}
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| *The comment about not including patients in the database if they die within 30 minutes of arrival to the ICU is new. I think this significant change should be discussed in the task/review group before implementation. Just a suggestion. --[[User:LKolesar|LKolesar]] 09:42, 25 March 2009 (CDT)
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| **I agree with Laura. Even if the pt dies within the 30 minute time frame, the staff will have a lot of work to do for that pt in that time as well as dealing with family and postmortem care. This is a lot of work to exclude, and I am not sure the staff will understand why these pts are being excluded. We have worked hard to get them to think to include these people in the log, and to now tell them the opposite will not go over well. [[User:BDeVlaming|BDeVlaming]] 10:46, 25 March 2009 (CDT)
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| == Cardiac Arrest Unwitnessed 100-01 ==
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| == Respiratory Arrest 100-03 - Data Integrity Rule ==
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| (as of 5 June 2000)
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| '''Never use 100-03 as primary admit diagnosis.'''
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| Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':
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| * A. “99” is called
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| * B. “99” record is completed
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| * C. Pulse is present
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| * D. Intubation is required
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| ==NOTE==
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| * RE: Cardiac arrest question on wiki and from '''meeting June 12.08'''.[[User:TOstryzniuk|TOstryzniuk]] 16:30, 25 June 2008 (CDT)
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| ''To maintain consistency and keep the collection practice the same as how we have always done it (whether it is correct or not, at least it is consistent):''
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| *'''''Example''':
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| Cardiac arrest & MI, and CHF at home or in ER.
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| Admitted from ER to ICU then transferred from ICU to Med Ward.
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| DX coding:
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| *ICU Admit DX:
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| #cardiac arrest
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| #type of rhythm (if charted)
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| #MI 4. CHF
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| *Med Ward Admit DX:
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| #MI
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| #CHF''
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| '''NOTE:'''
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| *''Primary reason to ICU was cardiac arrest. Issue resolved in ICU so arrest should not be coded as primary reason to ward when patient transferred to the ward.''
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| *''If patient is admitted directly from the ward from ER with the above admitting DX then cardiac arrest is the primary reason for admission to medicine ward from the ER.
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| ==Cooling Protocol for cardiac arrest==
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| Cardiac arrest should be cooled to 32°C to 34°C for 12 to 24 hours.
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| == Legacy Data ==
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| {{DX tag | Cardiac Arrest While on Unit | multiple | 150-** | '''Critical Care and Medicine''' | Legacy | | }}
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| *When the Database Program started in mid June 1988 we had two different codes for cardiac arrest. Code 100 (with subcodes 0-3) was to used only in the admit diagnosis slots and code 150 (with subcodes 0-3) was to be use only in acquired/complication code slots. The initial DOS database had many limitation we had to work around.
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| *In 2005/06 all acquired/complication codes of 150 were mapped to the correct 100 code by Trish and a utility program was written by our database programmer TMS LTD to automate the conversion. process.''.[[User:TOstryzniuk|TOstryzniuk]] 18:39, 25 June 2008 (CDT)
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| [[Category: Diagnosis Coding]] | |