Category:Arrest (old): Difference between revisions

• As of October 24, 2011 all patients that arrive in the ICU in the process of resuscitation should be included in the database, even if they are there for a short lenght of time and subsequently pass away. This has been accepted by the task group and Dr. Roberts has also approved this. Do the best you can to formulate an apache score either with vital signs & labs during the resuscitation, if available, or the vital signs & labs just before the arrest if available. --LKolesar 08:41, 25 October 2011 (CDT)

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. Admitted from ER to ICU then transferred from ICU to Med Ward. DX coding:

• ICU Admit DX:

1. cardiac arrest
2. type of rhythm (if charted)
3. MI
4. CHF

• Transfer to Medicine Ward
  • Admit DX:

1. MI
2. CHF

NOTE:

• 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.

• SEE BRR for information about the cooling protocol applied to witnessed cardiac arrests

NOTE

Code 100.00-Arrest without a subcode:

• If it is not clear in the patient chart if the arrest was either witnessed, unwitnessed or respiratory then you would not use a subcode therefore, 10000 would be possible option. I would prefer that folks not guess if it really isn't clear in the chart.--TOstryzniuk 17:34, 14 September 2010 (CDT)