International Classification of External Causes of Injuries (ICECI)
External injuries occur due to various reasons. In order to judge, classify and hence, provide a standard cure for the different types of injuries, an international standard has been set up. This standard of classification is ICECI or International Classification of External Causes of Injuries. It is used all over the world as a benchmark for research, preventing strain and distress and supervision of external injuries. It is in fact a tool that brings medical aid providers and patients from all over the world on a common platform. It is possible to set codes to crucial factors that cause external injuries. The major advantage of this international standard classification is the availability of statistics regarding injuries caused, which are elucidated in order to aid a medical aid provider in prioritizing injuries, formulating means of prevention and deciding on the treatment strategy. The International Classification of External Causes of Injuries was first formulated in 2001.

On what basis is ICECI formulated ?
Several factors are taken into consideration while formulating the International Classification of External Causes of Injuries. The major aspects are the intention with which the injury was caused, how the injury was caused, physical objects which cause injuries, the spot where the injury was caused, what the person was doing when the injury was caused and other causes of injuries such as alcohol use, drug abuse or any kind of addiction. Other than these basic factors, this standard also has sub-divisions for injuries occurred on job, during recreational activities, violence and while traveling. The classification is based in both detailed and brief formats.

What is the purpose of ICECI ?
The main intention of this international classification is to provide a classification for the reasons of injuries. A number of external factors cause serious injuries. Injuries can be caused by intentional and unintentional reasons. Some of the external reasons that cause injuries are fire, firearms, and accidents on the road, accidents at work place and various environmental factors. The classification has been formulated in order to help researchers and those who work for prevention of injuries in understanding the scope of various injury causing agents. It is very beneficial in taking up awareness drives for the cause of injuries so that people can employ safety measures and be safe from these external factors. This can help a lot in protecting the lives of hundreds of people who meet with untimely death due to injuries. The classification also helps in measuring the scope of injury caused by every factor and in monitoring the causes so as to prevent further damage among the public.

Certain basic criteria were taken into consideration while making the classification. The major ones among them are a coding axis for every factor that causes injury, how useful a particular remedy is in preventing injuries and how usable the recommendation is in different settings. The classification is based on an international level, formulated by taking into consideration data from different countries.

How is the classification structured ?
The structure of ICECI is multi-layered with a hierarchical structure. The basic model includes seven components which include factors such alcohol use and injury due to human intent. In addition to these seven modules, five modules are included which deal with simplification of assimilation of data for classification. The additional topics that are included encompass special factors that cause injuries such as injury in work place, during play, travel and violence. The classification is clear and very useful in getting to know the frequency with which different factors affect and injure people.

How user-friendly is the tool?
Since the tool has been designed to provide information and better awareness about different causes of injuries, it has been made to be very user friendly. Users can use ICECI as a database for all information related to injuries. The pages in the tool can be easily navigated so as to reach the required information within no time at all. Users can scan data as per their requirements and circumstances. The tool is indexed so as to directly reach the required page. ICECI has a number of advantages and can prove to be very useful for a huge number of activities. Some examples are the emergency department in hospitals, trauma care centers, clinics that cater to outpatients. The tool is very useful for medical resources that have inadequate facilities and information regarding prevention of injuries. ICECI is beneficial in providing the required information for these facilities.

What is the relation between International Classification of External Causes of Injuries (ICECI) and International Classification of Diseases (ICD)?
WHO’s Family of International Classifications encompasses ICECI as a Related Classification. It is created as an appendage to External Causes of Morbidity and Mortality, a part of ICD – 10 and belongs to Chapter XX. In order to bring together ICD – 10 and ICECI, the two have been related, thus facilitating comparison of the injury database. There is however, a slight difference between the two. ICD deals with injuries without giving much importance and focus on the external factors that cause them. ICECI, on the other hand, deals purely with various factors that are related to the cause of injuries. This is meant to benefit health providers and researchers think up new prevention strategies.

How is ICECI accessible?
In order to make ICECI accessible to a large part of the world population, it has been made available in three languages – English, Portuguese and Spanish. Translations which are in line are Indonesian, French and German.

Further recommendations for the betterment for the report have been suggested by some organizations. They recommend mentioning two clauses with clarity – the first being the factors leading to the occurrence of injury and the second being the actual cause of injury. In many cases, both these factors tend to be different. Having a clearly bifurcated data helps in gaining better understanding about the actual causes of injury. Provision of a standard or a benchmark at an international level can help in mitigating injuries for millions of people.

International Classification of External Causes of Injuries (ICECI)
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