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1. What does ISS define as part of the abdominal region? - ANSWER
Skin(lower torso), Digestive, Abdominal & Pelvic Vessels, Lumbar
Spine(vertebrae & cord)
2. Is the hip & pelvic bones structure part of the Abdominal region? - ANSWER
No. They are part of the extremity.
3. What terms can be used for "massive" organ lacerations? - ANSWER
Avulsion, Complex, Rupture, Tissue Loss, Deep
4. Define "Avulsion" of an organ? - ANSWER It is when the an organ is
repped / forcible tearing away from it's vascular system.
5. Define "No Perforation" of an organ? - ANSWER A partial thickness
laceration, such as a serosal tear. IE. Outerlayer
, 6. Define "Perforation" of an organ? - ANSWER A full thickness laceration,
but not complete transection
7. Define "Transection" of an organ? - ANSWER Complete separation of
two parts of an organ.
8. When coding an organ which takes priority; OIS or clinical description? -
ANSWER Clinical Description
9. When can a retroperitoneal hemorrhage be coded? - ANSWER Code
when determined it is unrelated to another injury. IE unrelated to pancreas,
duodenum, kidney, aorta, vena cava, mesenteric vessel and pelvic/vertebral
fractures
10.When can a vessel injury be coded? - ANSWER (1)If they are isolated
injuries or (2)they are not included in an organ injury description
11.If an injury occurs at the junction between the duodenum and the jejunum
how is it coded? - ANSWER Code to the jejunum
12.Can a Contusion & a laceration be coded to a single organ? - ANSWER
Depends. If the contusion is related to a laceration, No. If they are unrelated
then Yes.
13.Can fetal demise be coded as an injury? - ANSWER No. It is a result of an
abdominal injury not the injury itself.