Witnessed Cardiac Arrest: Difference between revisions

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{{DX tag | Cardiovascular(old) | Medical Problem| Witnessed Cardiac Arrest| Witnessed Cardiac Arrest| [[10002 - Witnessed Cardiac Arrest]] | No| 0 | CC & Med | Currently Collected |  | }}
{{PreICD10 dx | NewDxArticle = Cardiac arrest}}
 
{{DX tag | Cardiovascular Problems | Medical Problem| Witnessed Cardiac Arrest| Witnessed Cardiac Arrest| 10002 - Witnessed Cardiac Arrest | No| 0 | CC & Med | Currently Collected |  | }}
 
A witnessed or [[Unwitnessed Cardiac Arrest]] patient in ICU must also code in  '''[[BRR | Cooling Protocol using BRR or XBR]].
A witnessed or [[Unwitnessed Cardiac Arrest]] patient in ICU must also code in  '''[[BRR | Cooling Protocol using BRR or XBR]].
{{PreICD10 dx | NewDxArticle = Targeted Temperature Management (TTM)}}


For '''in-hospital''' witnessed arrests, code as a witnessed arrest (100-2) only if event was witnessed '''by hospital medical staff''', this does not include house keeping, maintenance or visiting family.
For '''in-hospital''' witnessed arrests, code as a witnessed arrest (100-2) only if event was witnessed '''by hospital medical staff''', this does not include house keeping, maintenance or visiting family.
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== Coding example ==
== Coding example ==
''The following is just one coding example. Often the rhythm that caused the arrest is the least of the patients problems. Sometimes in it is a major problem requiring pacemaker,amiodarone etc. Use normal coding instructions, the example is just that, an example. ''
*''Example of coding arrest patient admitted to ICU from ER then sent a number of days later to a medicine ward with the following problems'':
*''Example of coding arrest patient admitted to ICU from ER then sent a number of days later to a medicine ward with the following problems'':
**V. Fib. Cardiac arrest & MI, and CHF at home or in ER.
**V. Fib. Cardiac arrest & MI, and CHF at home or in ER.
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*''Primary reason to ICU was cardiac arrest.  Issue resolved in ICU so arrest must '''not''' be coded as primary reason to ward when patient transferred to the ward.''
*''Primary reason to ICU was cardiac arrest.  Issue resolved in ICU so arrest must '''not''' be coded as primary reason to ward when patient transferred to the ward.''
*''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.
*''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.
{{Discussion}}
When I first started collection in ICU I was told this was an '''example''' on how to code arrests not a rule on how to code the priority of problems. Often that rhythm that caused the arrest is the least of the patients problems.Sometimes in it is a major problem requiring pacemaker,amiodarone etc. However, for example cardiogenic shock,renal failure,septic shock could be the #2 major problem. If the rhythm needs to be in the 2nd diagnostic spot then it should be a rule not an example.If priority doesn't matter than let us know either way. Thanks[[User:GHall|GHall]] 07:21, 2016 June 7 (CDT)


== {{CCMDB Data Integrity Checks}} ==
== The concept of witnessing won't be coded in ICD10 ==
See notes under [[Arrest Witnessing]] --- Perry Grey has a different way of obtaining this info, so we no longer need to collect it.}}Has [[Cardiac arrest]] but no concept of witnessed. What should we do with this? Ttenbergen 23:24, 2017 November 13 (CST)
 
==CCMDB Data Integrity Checks==
see [[Check BRR/XBR vs cardiac arrest dx]]
see [[Check BRR/XBR vs cardiac arrest dx]]


 
== See also ==
*see [[:Category:Arrest | Category Arrest]] for general info on coding arrests
*see: [[Unwitnessed Cardiac Arrest]]
*see: [[Unwitnessed Cardiac Arrest]]
*also see [[Respiratory Arrest]]
*also see [[Respiratory Arrest]]
== Related articles ==
{{Related Articles}}




[[Category: Arrest]]
[[Category:Arrest (old)]]
[[Category: ACS]]
[[Category:ACS (old)]]