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Injury and poisoning

Injury and poisoning. Types: Fractures Dislocation Sprains, strains of joints and adjacent muscles Intracranial Injury, excluding: those w/skull fx Internal injury of thorax, abdomen, pelvis Open wound Injury to blood vessels

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Injury and poisoning

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  1. Injury and poisoning • Types: • Fractures • Dislocation • Sprains, strains of joints and adjacent muscles • Intracranial Injury, excluding: those w/skull fx • Internal injury of thorax, abdomen, pelvis • Open wound • Injury to blood vessels • Late effects of injuries, poisonings, toxic effects, and other external causes • Superficial Injury • Contusion with intact skin surface

  2. Injury and poisoning (cont) • Crushing Injury • Effects of Foreign body entering through orifice • Burns • Injury to nerves and spinal cord • Certain traumatic complications and unspecified injuries • Poisoning by drugs, medicinal and biological substances • Toxic effects of substances chiefly nonmedicinal as to source • Other and unspecified effects of external causes • Complications of surgical and medical care, not elsewhere classified

  3. Fractures: • site • single or multiple • closed • i.e. dpressed, greenstick, impacted, simple, spiral • open • i.e. compound, puncture, infected, with foreign body • Dislocation and Subluxation • Open • compound, infected, with foreign body • Closed • complete, dislocation NOS, partial, simple, uncomplicated

  4. Types of injuries • Intracranial • Contusions (severe, bleeding and bruising of brain tissue • Hematoma • Laceration • open • closed • Open wound • Crushing • Burns • 1st, 2nd and 3rd degree • Cause

  5. Debridement • Procedure associated with • burns • wounds • infections • foreign body not by entering orifice • Code • Late effects • Cause • Encounter site • Debridement - procedure

  6. Injury and Poisoning add-ons • Alphabetic Index • check here first, then Tabular list to verify • Table of Drugs and Chemicals (inc. alcohol) • Adverse Effects of Drugs • specified • unspecified • Late Effects of Drugs or Chemicals • Allergies • Causes • accidental • medical negligence • suicide • homicide • unknown allergies • unspecified

  7. E Codes • E codes – External Cause of Injury or Poisoning • Accidental • Surgical/medical • Terrorism • Late effects • Other accidents • Drugs • Homicide • Legal intervention • War • Abuse

  8. ADditional info for E codes • Death and Injury resulting from terrorism • Late effects • Never events • wrong site surgery, wrong surgery, wrong patient • foreign body left in patient • Fourth digit subdivisions: • Railway accidents • Motor vehicle traffic and nontraffic accidents • Other road vehicle accidents • Water transport accidents • Air and Space Transport accidents

  9. External cause status • Civilian activity done for income or pay • Military activity • Other external cause status • Unspecified external cause status • See activity codes, pg. 311 • Military operations

  10. late effects • Late effect – a residual effect, or condition produced and currently present, that remains after the acute phase of an illness or injury has terminated • ex: scarring following a burn, arthritis following a fracture • Terminology: • residuals of • old • sequela of • late • due to or following previous illness or injury

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