5. Diagnosis: Trauma Diagnosis
• Injury Diagnosis
• S00-S99 A,B,C; T07, T14, T15-T19 T20-T28*, T30-T32, T33-T34*,T68, T71, T73-
T76*, T79*
• Enter all letters in caps
• Enter injury narrative as described by physicians, radiologist, consults and
nurses
• Enter one diagnosis per line
• Leave blank if only Non-Trauma Diagnosis
• Do not enter NA or unknown
6. Diagnosis: Trauma Diagnosis
• Select “Tri-Code” button
• Auto-generate the diagnosis in Trauma Diagnosis Grid
• ICD 10 code, PreDot, Severity and ISS Body Region
• Invalid ICD10 Code description “@ <Non-trauma code>”
• Check code (typo or not all caps)
• Non-trauma diagnosis
• ISS and TRISS calculated
9. Diagnosis: Trauma Diagnosis
• Burns
• Tricoder does not automatically calculate the % TBSA burn List each body part
burned by degree
• Or calculates % TBSA inaccurately
• Add statement for TBSA % for each degree
• 2% TBSA 1st degree burns
• 5% TBSA 2nd degree burns
• 10% TBSA 3rd degree burns
• Tri-code
• Look for T31.0 diagnosis in Trauma Diagnoses Grid
• Matches actual TBSA burned
15. Diagnosis: Trauma Diagnosis
• Hypothermia
• Enter lowest temperature patient experienced (or documented) to get
accurate PreDot and ISS
• Prehospital, document in provider notes
• Can either be in C or F
19. Diagnosis: Trauma Diagnosis
• COVID19
• ACS (American College of Surgeon) Request due to COVID19 Pandemic
• Enter diagnosis on Trauma Diagnosis Screen
• ACS:
• CONFIRMED = U07.1
• SUSPECTED, POSSIBLE, PROBABLE = Z20.828
• ACS is expecting this information on all trauma patients as of April 1, 2020 but
will accept back to Jan 1, 2020
21. Diagnosis: Trauma Diagnosis
• ISS
• Reflect the level of severity of the patient’s injuries
• Auto-calculated from Trauma Grid
• TRISS
• Survival probability (Ps) for a patient
• Injury Type (blunt/penetrating)
• RTS
• Systolic BP, Respiratory Rate, GCS
• ISS
• Injury Diagnosis
22. Diagnosis: Trauma Diagnosis
• % TBSA 2nd & 3rd Degree Burn
• Total percentage of body surface area of 2nd and 3rd degree burns
• Rule of Nine
• Enter NOT APPLICABLE – when not a burn or fire victim.
• Smoke inhalation victims without burns, enter 0%
27. Diagnosis: Comorbidities
• Comorbidities
• Pre-existing co-morbid factors
• Present before patient arrival at the ED/hospital (injury)
• Enter up to 20
• Valid Co-Morbid Condition has a diagnosis in medical record
• Definition listed in Alaska Data Dictionary
• Other comorbidities
• Select other
• Free-text in “if other” box