CHIEF COMPLAINT: This admission for this 36 year old man was occasioned by his
being an unrestrained driver in an MVC. He was ejected from the
vehicle. He was awake and alert at the scene. He was intubated
at the scene forairway protection.

PRESENT ILLNESS: 36 year old man in MVC, ejected from vehicle. Awake at scene,
intubated for airway protection. He was driving at ~66 mph.  Had
deccreased BS on left side during transport.

MEDICAL HISTORY: Unknown Past medical history

MEDICATION ON ADMISSION: Unknown

ALLERGIES: No Drug Allergy Information on File

PHYSICAL EXAM: HR 120, Bp 90Second degree burns left
face and neck
Chest is clear to auscultaation, tender left chest
Abdomen tender and mottled

FAMILY HISTORY: Unknown

SOCIAL HISTORY: Unknown
Injury to diaphragm, without mention of open wound into cavity,Injury to kidney without mention of open wound into cavity, unspecified injury,Ventricular fibrillation,Injury to spleen without mention of open wound into cavity, unspecified injury,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Blisters, epidermal loss [second degree] of neck
Diaphragm injury-closed,Kidney injury NOS-closed,Ventricular fibrillation,Spleen injury NOS-closed,Loss control mv acc-driv,2nd deg burn neck
Admission Date:  [**2153-1-30**]              Discharge Date:   [**2153-1-30**]

Date of Birth:  [**2117-1-29**]             Sex:   M

Service: SURGERY

Allergies:
No Drug Allergy Information on File

Attending:[**First Name3 (LF) 371**]
Chief Complaint:
This admission for this 36 year old man was occasioned by his
being an unrestrained driver in an MVC. He was ejected from the
vehicle. He was awake and alert at the scene. He was intubated
at the scene forairway protection.

Major Surgical or Invasive Procedure:
Thoracotomy
LAparotomy, splenectomy Left nephrectomy
repair left diaphragm
Anbdominal packing [**2153-1-30**]

History of Present Illness:
36 year old man in MVC, ejected from vehicle. Awake at scene,
intubated for airway protection. He was driving at ~66 mph.  Had
deccreased BS on left side during transport.


Past Medical History:
Unknown Past medical history

Social History:
Unknown

Family History:
Unknown

Physical Exam:
HR 120, Bp 90Second degree burns left
face and neck
Chest is clear to auscultaation, tender left chest
Abdomen tender and mottled


Pertinent Results:
[**2153-1-30**] 09:22PM   TYPE-ART PO2-34* PCO2-138* PH-7.05* TOTAL
CO2-41* BASE XS-1
[**2153-1-30**] 09:22PM   LACTATE-14.2*
[**2153-1-30**] 09:22PM   O2 SAT-58
[**2153-1-30**] 09:22PM   freeCa-0.59*

Brief Hospital Course:
He arrested in the trauma bay.  Fast revealed no cardiac
activity.  He had left chest decopression with bilateral chest
tubes placed. CPR resulted in some vital sigs.  He waa taken to
the operating room after opening his chest in the ED and hold
his aorta. He was highly unstable in the Or and was brought to
the TSICU where he expired.

Medications on Admission:
Unknown

Discharge Medications:
None

Discharge Disposition:
Expired

Discharge Diagnosis:
Blunt trauma
Spleen laceration
Diaphragm rupture
left kidney laceration

Discharge Condition:
Deceased
{'Injury to diaphragm, without mention of open wound into cavity,Injury to kidney without mention of open wound into cavity, unspecified injury,Ventricular fibrillation,Injury to spleen without mention of open wound into cavity, unspecified injury,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Blisters, epidermal loss [second degree] of neck'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: This admission for this 36 year old man was occasioned by his
being an unrestrained driver in an MVC. He was ejected from the
vehicle. He was awake and alert at the scene. He was intubated
at the scene forairway protection.

PRESENT ILLNESS: 36 year old man in MVC, ejected from vehicle. Awake at scene,
intubated for airway protection. He was driving at ~66 mph.  Had
deccreased BS on left side during transport.

MEDICAL HISTORY: Unknown Past medical history

MEDICATION ON ADMISSION: Unknown

ALLERGIES: No Drug Allergy Information on File

PHYSICAL EXAM: HR 120, Bp 90Second degree burns left
face and neck
Chest is clear to auscultaation, tender left chest
Abdomen tender and mottled

FAMILY HISTORY: Unknown

SOCIAL HISTORY: Unknown 

### Response:
{'Injury to diaphragm, without mention of open wound into cavity,Injury to kidney without mention of open wound into cavity, unspecified injury,Ventricular fibrillation,Injury to spleen without mention of open wound into cavity, unspecified injury,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Blisters, epidermal loss [second degree] of neck'}
