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Coma scale, best motor response, extension, in the field [EMT or ambulance]
ICD10CM code
Name of the Condition
- Coma Scale, Best Motor Response, Extension, in the Field [EMT or Ambulance]
- Also known as "Extension Posturing" in the context of the Glasgow Coma Scale (GCS).
Summary
- A specific level of motor response assessed during the use of the Glasgow Coma Scale, where a patient’s limbs extend in an involuntary response to stimuli. This response is indicative of significant brain injury.
Causes
- Such motor responses commonly result from severe brain injuries, including traumatic brain injury (TBI), stroke, hypoxia, or brain swelling.
Risk Factors
- Having suffered a recent head injury or traumatic event.
- Medical history of conditions predisposing to brain injuries like aneurysms.
- Dangerous activities that heighten risk of trauma (e.g., contact sports, road accidents).
Symptoms
- Presence of abnormal and involuntary extension of arms and legs in response to pain, reflecting significant neurological impairment.
Diagnosis
- Part of the assessment using the Glasgow Coma Scale in an emergency setting to determine consciousness level.
- Often paired with other assessments including neuroimaging (CT/MRI scans) for comprehensive evaluation.
Treatment Options
- Immediate focus on stabilizing the patient: securing the airway, ensuring adequate ventilation, and maintaining blood pressure.
- Further treatment involves addressing the underlying cause such as surgery for brain injury or medication to reduce swelling.
Prognosis and Follow-Up
- Prognosis depends on severity and cause of brain injury; often requires intensive medical care.
- Regular neurological evaluations and rehabilitation could be necessary post-stabilization.
Complications
- Without timely intervention, complications can include irreversible brain damage, disability, or even death.
Lifestyle & Prevention
- Use protective gear (helmets, seat belts) during potentially dangerous activities.
Avoid high-risk situations leading to head injuries.
When to Seek Professional Help
Any instance of head trauma followed by loss of consciousness or involuntary motor responses warrants immediate medical attention.
Additional Resources
Tips for Medical Coders
- When coding, ensure precise recording of motor response levels using the Glasgow Coma Scale.
- Avoid errors stemming from misinterpretation of patient responses; confirm details of the GCS assessment in medical records.