Category:Arrest (old)

• 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. 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.

As per Dr. Dan Roberts

Medical Director, Medicine Program, WRHA

September 16, 2008

• 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