What have you learned
What is the door-to-departure goal for severe trauma patients?
2 Hours
21 y/o male suffered multiple GSWs to his right shoulder and neck. Xray of R shoulder shows a mildly displaced, comminuted fracture of the shaft of the clavicle with surrounding metallic fragments. CTA neck identifies transection of the right vertebral artery.
Include
Pt has multiple codable injuries that meet the inclusion criteria
How many abdominal quadrants are there?
4
How many pre dot digits in an AIS code?
6
Who originated the NTDB?
The ACS
What letter begins most of the common ICD 10 – CM external injury codes for Falls?
W
89 y/o Female Transfer in for a ground level fall. Outside Hospital pt diagnosed with hip contusion & SDH. Repeat imagining at your facility show no SDH.
Exclude
Without confirmation of the SHD, pt would only have a hip contusion which is excluded since its a superficial injury.
How many Lumbar vertebrae are there?
5
The ISS score range is?
1-75
What are the validation error levels?
Level 1
Level 2
Level 3
To be classified as a current smoker, nicotine would be inhaled within how many days prior to injury?
30 days
58 y/o male suffered 10-foot fall from a ladder 15 days ago. Pt presents with abrasions to both shins. Upon arrival CT Chest shows 5th, 6th, 7th rib fractures with a small ptx. There is an age indeterminate hairline fracture of the manubrium.
Exclude
This pt injury occurred more than 14 days before the first hospital encounter therefore, does not meet inclusion criteria.
How many bones does the human body have?
206
What does the single digit after the dot show in an AIS code?
The post dot score describes the severity of the injury
What is the _____ % of records that should be closed in ____ days?
80%, 60 days
•What intent is used to determine the correct ICD 10 CM code for falling from a moving vehicle by being pushed?
Assault
32-year-old female was caught in a fatal house fire. Pt was unresponsive on scene due to heat and smoke inhalation. She went into cardiac arrest and was successfully resuscitated on scene. Pt presents with 54% extensive burns to the upper half of her body and severe inflammation with friability in respiratory tract. There are second and third degree burns of her bilateral hands & forearms. There are first and second degree burns around her upper arms, shoulders, chest, abdomen, and back.
Exclude
Jan 1, 2026 DSHS TX updated to follow the ACS with not including burn pts into the trauma registry. Since this pt is isolated burns without trauma, they would be excluded from your trauma registry & submission to the state.
Which organ is surrounded by pericardial fluid to prevent it from outside injuries?
Heart
How many cc = 20% blood loss in an adult pt?
>1000 CC
What is the purpose of reporting data?
Quality Improvement,
Injury Prevention,
Clinical Research,
Policy Development
When should a facility initiate transfer to a higher level of care?
When care exceeds that facility's capacity
49 y/o female found down unresponsive at home. Brought in by EMS with a skin tear of her left forearm, and some scattered abrasion. She wakes up, states she felt dizzy & fell hitting her head on the way down. ED Dr documents +LOC. Pt states they are fine now and leaves AMA. Pt goes to another ED about 4 hours later complaining of head pain. CT scan shows small scalp contusion, R sided SDH, with an overlying subgaleal hematoma. Pt is admitted to your facility for observation for the SDH.
Include
Pt arrives at new facility and is admitted. This is the first encounter at that facility so meets inclusion criteria.
Name the layers of the skin from outside to in
Epidermis, Dermis, Subcutaneous Tissue, Muscle
What is a fracture involving the joint called?
Articular Fracture
What are the validation levels?
Single Variable,
Multi-Variable,
Test-Retest Reliability,
Inter-Rater Reliability