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Once Bitten Twice Shy - Coding Complexities of Dog Bites
Release and Expiration Dates
Released: 3/26/2021
Expires:    3/25/2024
Last Reviewed Date
Once Bitten Twice Shy - Coding Complexities of Dog Bites

Once Bitten Twice Shy - Coding Complexities of Dog Bites is a TCAA course created from a webinar providing information about 

Estimated completion time:
60 minutes
Target Audience: The trauma healthcare team and other clinical departments

Learning Objectives:
At the conclusion of this course, the learner should be better able to:

1. Differentiate between penetrating and blunt trauma
2. Practice coding procedure found with a complex dog bit
3. Identify ICD-10 codes associated with a complex dog bite

Faculty Presenters: Deanah Moore, Maria Penrose, and Joyce Burt 

Faculty Bios:

Deanah Moore

I have worked at Mercy Health St. Vincent Medical Center (Level I Adult, Level II Pediatric Trauma Center) in Toledo Ohio for the past 13 years as a trauma data system specialist. I also have been the Regional Data Manager for Northeastern Ohio Regional Trauma Network (NORTN) for the past 5 years. I have an Associate’s Degree in Applied Science Majoring in Health Information Management from Owens Community College in Ohio, and holds certifications of Registered Health Information Technician (RHIT), Certified Specialist in Trauma Registry (CSTR) and Certified Abbreviated Injury Scale Specialist (CAISS). I have been an active member of my state registry organization, the Alliance of Ohio Trauma Registrars (AOTR) since 2009 and served as Secretary, Vice President and currently President. I also am a member of the AOTR Education Committee as an instructor for the Ohio Trauma Registry Course.

On a personal note, I have been happily married to my very supportive husband Scott for 15 years and we have an amazing son, Mason, who is 12 years old. The highlights of my days are spending time with my family and friends, watching our son play soccer and baseball, and lastly enjoying our hobby of owning Ford Mustangs and going to car shows.

Maria Penrose

Maria is a Trauma Data Coordinator at Nationwide Children’s Hospital, an ACS verified Level 1 Pediatric Trauma Center and an ABA verified Pediatric Burn Center in Columbus Ohio. Maria has been a Trauma Data Coordinator for the past 24 years with experience in Adult Level 1, Adult Level 3 and Pediatric Level 1 Trauma Centers. Maria has been an EMS provider for the past 30 years and is a certified paramedic with the State of Ohio, a former certified EMS Instructor for the State of Ohio as well as a former preceptor for paramedic students at Grant Medical Center, the largest adult verified Level 1 Trauma Center in Ohio. Along with being a paramedic, Maria is a Certified Specialist in Trauma Registry (CSTR) and a Certified Abbreviated Injury Scale Scoring Specialist (CAISS). Maria has a passion for taking her experience and sharing it with others through mentorship and teaching new trauma data professionals. When Maria is not working you can find her spending time with her husband Jeff, their 4 children and 13 grandchildren making memories camping and exploring or with her girl pals taking yearly trips to hike the beauty of National Parks.

Joyce Burt

My experience in Trauma Registry includes almost 25 years working with four verified Trauma Centers, as well as the Regional Trauma Data Manager for SORTS (Southwest Ohio Regional Trauma System). I am currently the Chair of TRAW (Trauma Registry Advisory Workgroup) a workgroup of the Ohio Trauma Committee and serve as a member of the Ohio Trauma Committee. I am a member of the AOTR (Alliance of Ohio Trauma Registrars) and serve on the subcommittee for education. As an AOTR education committee member I help to teach the OTRC (Ohio Trauma Registry Course). I have also participated as a member of the TQIP Training Project Team.


AAAM. (2008). AIS2005-2008. Association for the Advancement of Automotive Medicine.
Chang, E. H. (2018). An Introduction to Contrast-Enhanced. Nephron, 176-185.
Fonseca G, M. E. (2015). Forensic studies of dog attacks on humans: a focus on bite mark analysis. Research and Reports in Forensic Medical Science, 39-51.
Merck & Co. (2013). Merck Manual Veterinary Manual. Kenilworth: Merck Sharp & Dohme Corp.
Murphy, A. (n.d.). Iodinated Contrast Media. Retrieved from Radiopaedia:
Optum. (2013). ICD-10-PCS. Salt Lake City: OptumInsight, Inc.
Availability: On-Demand
Cost: FREE
Credit Offered:
1 CE Credit
1 COP Credit
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