Witnessed Cardiac Arrest: Difference between revisions

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For '''out of hospital arrests''' use anyone present as a witness.  The only unwitnessed arrests are if no-one is around when the person collapses and no one knows when it occurs and when CPR is delayed because no one could do it.
For '''out of hospital arrests''' use anyone present as a witness.  The only unwitnessed arrests are if no-one is around when the person collapses and no one knows when it occurs and when CPR is delayed because no one could do it.
== Coding 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'':
**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:
#cardiac arrest 
#type of rhythm (if charted)
#MI 
#CHF
*Transfer to Medicine Ward
**Admit DX:
#MI 
#CHF
*''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.


== {{CCMDB Data Integrity Checks}} ==
== {{CCMDB Data Integrity Checks}} ==

Revision as of 16:56, 2016 June 6

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Cardiac arrest, Targeted Temperature Management (TTM)

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System:
Category: Cardiovascular (old)

Type:

[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]]

Main Diagnosis: Witnessed Cardiac Arrest
Sub Diagnosis: Witnessed Cardiac Arrest
Diagnosis Code: 10002 - Witnessed Cardiac Arrest
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Currently Collected


A witnessed or Unwitnessed Cardiac Arrest patient in ICU must also code in Cooling Protocol using BRR or XBR.

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. The witnessed cardiac arrest on the wiki is speaking only of "in Hospital" arrests when it requires hospital staff to witness.

For out of hospital arrests use anyone present as a witness. The only unwitnessed arrests are if no-one is around when the person collapses and no one knows when it occurs and when CPR is delayed because no one could do it.

Coding 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:
    • 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
  • 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.

Template:CCMDB Data Integrity Checks

see Check BRR/XBR vs cardiac arrest dx