Arrhythmia

🤔 Question: If a patient that had sinus bradycardia and a junctional rhythm is being logged into the registry as an arrhythmia and the only options to select were atrial fibrillation/flutter, Supraventricular tachycardia (SVT), Ventricular tachycardia, Ventricular fibrillation, would there be an ability to add another free text box for this?

...

🌱 Answer: No, a rapid heart rate in someone with a known history of atrial fibrillation is NOT a complication, because it is a pre-existing condition that is not likely due to the burn injury. However, if the atrial fibrillation/flutter is a new complication, in a patient with no past history of this, it should be documented.

...

Compartment Syndrome, Extremity

🤔 Question:In the definition of compartment syndrome, it indicates not present on admission. Is there a recommended time from for this or is there a guideline?  In coding standards there is a Present On Admission (POA) flag but not sure if this is what most registrars use?

🌱 Answer: Compartment syndrome of the extremity is a complication that the registry collects and should be recorded if the compartment syndrome develops after the admission to your burn unit OR if it was present but missed on admission and threatened limb viability and required later intervention. (see definition in Data Dictionary). 

Burn Infection

🤔 Question: Are positive cultures of the blood or wound required to meet the definition of a burn wound infection like cellulitis?

🌱 Answer: To meet the CDC definition of Burn Infection, which is used by the Burn Registry, a positive culture must be obtained. In the supplementary variable you can then identify the infection as Invasive or Non-Invasive Burn Infection using the definitions provided.

...

Deep Venous Thrombosis (DVT)

...

These are 2 separate data points. The Venous thrombosis prophylaxis start date and type data point is to be completed for all patients with >/= to 10% TBSA burns, any patient with an inhalation injury, surgery or who died. The DVT complication supplementary data point is only completed for patients who had a DVT.

Venous Thrombosis Prophylaxis Start Date

...

Hospital Acquired Pressure-Induced Skin and Soft Tissue Injury, Stage Pulmonary Embolism Prophylaxis

Severe Sepsis Type

Screen for Major Depression

...

🌱 Answer: The definition states that the screening should be done by a psychologist, social worker or other health care professional for major depression. It does not rely on the patient telling you they are depressed, and the professionals can make that determination.

Skin and Soft Tissue Infection

...