ACS inclusion guidelines Right Ans - ICD-10 Falling in S00-S99 7th
character of A,B, or C only and excluding superficial injuries
T07 - unspecified multiple injuries
T14 - Injury of unspecified body region
T20-T28 - 7th Character A only - burns by specific body area
T30-T32- burns by TBSA'T79.A1-T79.A9 7th character A only - traumatic
compartment syndrome
**All must include one of the following**
- Hospital admission
- Hospital transfer via EMS transport
- Death resulting from the traumatic injury
External code hierarchy Right Ans - 1. Child and Adult abuse
2. Terrorism
3. Cataclysmic events
4. transport accidents
5. Cause that causes the most serious injury
ED Discharge Date and Time Right Ans - The date and time orders were
written - NOT the date and time the PT actually left the ED
AIS Severity Right Ans - The post dot number that reflects the severity of
the injury
1. Minor injury
2. Moderate Injury
3. Serious Injury
4. Severe Injury
5. Critical Injury
6. Maximum Injury, Virtually Unsurvivable
9. Not possible to assign
ICU Length of Stay Right Ans - Any partial or full day in the ICU is counted
as 1 day
,Ventilator Days Right Ans - Any partial or full day on a vent is counted as 1
day
Hospital Discharge Date and Time Right Ans - The date and time the order
was written for the patient - NOT when the patient actually left
TQIP Lowest BP time frame Right Ans - Lowest BP within the first 4 hours
of arrival
TQIP Angiography/Embolization Time Frame Right Ans - Angiogram
and/or Embolization within first 24 hours of arrival
TQIP Surgery for Hemorrhage Control Time Frame Right Ans - Surgery for
hemorrhage control within first 24 hours of arrival
What flags will cause a submission file to be rejected Right Ans - Level 1
and Level 2 and they must be resolved before collecting data
What makes up the Neurologic System Right Ans - Brain
Spinal Cord
Nerves
What makes up the respiratory system Right Ans - Trachea
Lungs
Diaphragm
What makes the circulatory system? Right Ans - heart
arteries
veins
What makes up the digestive system Right Ans - esophagus
stomach
bowel
What makes up the Urinary system Right Ans - kidneys, ureters, bladder,
urethra
What makes up the Musculoskeletal System Right Ans - bones
muscles
,tendons
What makes up the integumentary system? Right Ans - Skin
What are the bones of the skull Right Ans - frontal, parietalx2 , occipital,
temporalx2, sphenoid, ethmoid
Why are the skull bones there Right Ans - Important landmarks
Cover the corresponding lobes of the brain
protection
take a tremendous force to injure
when broken, need to look at what else might be injured
What are type of skull fractures? Right Ans - Closed- skin is not broken,
also called simple
Open - skin is broken, bone visible, also called compound
Depressed - bone is pushed into brain cavity
What are signs of Basilar skull fractures? Right Ans - Raccoon eyes ( black
eyes) - Anterior Fossa ( front of head)
CSF leak - Middle Fossa
Battle Signs ( bruising behind ears) - Posterior Fossa ( back of head)
Describe CSF Leaks Right Ans - Could be clear or mixed with blood from
brain, highly suggestive of skull fracture through middle fossa of skull
Describe CSF Rhinorrhea Right Ans - CSF fluid leaking from the nose.
Highly suggestive of a skull base fracture through the middle foss
CSF Otorrhea Right Ans - CSF fluid leaking from the ear. Highly suggestive
of a skull base fracture through the middle fossa
What diagnostic tools are used to determine a skull fracture and head injury
Right Ans - Head CT
MRI
Arteriorgram - assess vasculature
Nuclear Med Scan - asses brain flow
What interventions are used for brain bleeds? Right Ans - ICP monitor
, Ventriculostomy- these are monitoring and/or therapeutic - read the chart
Craniotomy - incision
evacuation of Hematoma
Craniectomy - excise part of skull
what are some focal intracranial injuries? Right Ans - Localized to an area:
Contusion
Epidural Hematoma
Subdural Hematoma
Subarachnoid Hematoma
Intraparenchymal Hematoma
What are some non-focal (diffuse) intracranial injuries? Right Ans -
Concussion
Shear injury
DAI - Diffuse Axonal Injury
What is Decorticate Posturing? Right Ans - Pt's arms and legs are pulling
into himself or are turned inward
A very bad sign of brain injury
What is Decerebrate Posturing? Right Ans - Pt's hands, arms, and legs are
turned outward or are externally rotated.
A very bad sign of a brain injury
What are the bones of the face Right Ans - Orbits
Zygoma X2
Nasal bones
maxilla
mandible
What is a le Fort I Fracture Right Ans - Transverse Maxillary Fracture that
must include:
Pterygoid Plate
Lower Maxilla including the Alveolar Process and Maxillary Sinus
Palatine Process ( Hard Palate)
What is a Le Fort II Fracture? Right Ans - Pyramidal fracture that must
include:
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