| TN0657 TETANUS � SEVERE |
|---|
| PREAUTH | CLAIMS |
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
|---|
| MUSCLE SPASM / OPISTHOTOMUS / H/O INJURY WITH UNCLEAN WOUND / | CLINICAL PHOTO / CPK / ECG | TOTAL BED DAYS | | 20 | | |
| | | BEDS IN ICU | | | | |
| | | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | | INVESTIGATIONS | ECG | 30 | | |
| | | | RFT / other blood tests � CPK / ABG | | | |
| | | | clinical photo during spasm | | mandatory | |
| | | | TRACHEOSTOMY | | | |
| | | | wound cultures AND SENSITIVITY | | mandatory | |
| | | TREATMENT | inj. Tetanus immunoglobulin + inj.TT | 50 | mandatory | |
| | | | wound care/ antibiotics - penicillin group +/- metronidazole | | mandatory | |
| | | | | | | |
| | | | muscle relaxant + sedation + I.V fluids | | mandatory | |