traumatic intubation

katysuegood@gmail.com

Hi all!
I have a patient with an out of hospital cardiac arrest, intubated in the field and brought to the hospital. On further examination, the patient sustained a traumatic injury to the trachea during intubation and may require a temporary trach.
I am thinking the Cardiac arrest (or underlying cause, if found) should be Pdx but I am not 100% sure because the tracheal injury is a complication of care.

Thoughts?

Thanks!

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404

ssalinas

I would go with the underlying cause of the cardiac arrest if determined (or cardiac arrest if not). Would he have been admitted with or without the tracheal injury? Probably so.

Sharon Salinas, CCS
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
ssalinas@barlow2000.org

cynthia.a.goewey

I agree with Sharon.
Cindy


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sannwoody

If they get the trach, I think you could justify the tracheal injury as PDX- otherwise if main focus of care is w/u of cardiac arrest, then cause of cardiac arrest could be PDX.

Stephanie Woody-MedPartners

katysuegood@gmail.com

I was thinking this too.

Thanks for all your help everyone!

Katy Good