the patient is a 25-year old, male brought to the emergency department (ED) after being shot in the abdomen during a drive-by shooting. the patient was admitted to the hospital with the expectation he would be transferred to the surgical ICU after surgery. The trauma team assembled in the ED, and it was quickly determined the gunshot wound of the epigastric area of the abdomen was complicated by injury to the abdominal aorta, with the retained bullets in the peritoneal cavity. The trauma surgeons attempt to control the bleeding by preforming a REBOA procedure. A REBOA is a technique to rescue patients rapidly bleeding to death from injuries to their chest, abdomen or pelvis. The procedure involves placing a flexible catheter rapidly into the femoral artery, advancing to the aorta and inflating a balloon at its tip. This stops blood flow beyond the balloon. This is a temporary procedure as a bridge to get the severely injured patient to the operating room or the angiographic intervention radiology suite for definitive treatment. For this patient, the REBOA procedure was preformed in the ER trauma suite. Concurrent imaging suggested the patient had a complete transection of the abdominal aorta, The patient was taken to the operating room for exploration and treatment but suffered cardiac arrest and could not be resuscitated or subjected to surgery and pronounced dead. The only procedure performed was the REBOA.
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Has to be answered in ICD CM 10 codes!!!
