TvDx
Chicago Med

Chicago MedNBC

Season 3, Episode 18

12 medical diagnoses portrayed

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Also known as: GSW to chest

Hemorrhagic shockHemothoraxPneumothorax

Multiple mass casualty victims arrive with gunshot wounds to the chest requiring chest tubes, intubation, and surgical intervention. Several patients crash from bleeding into chest cavity.

Also known as: GSW to abdomen

HemoperitoneumLiver lacerationBowel injuryCoagulopathy

Patient with two gunshot wounds bleeding into abdomen and chest, develops coagulopathy, requires emergency laparotomy in the doctor's lounge with damage control surgery including bowel resection.

Also known as: Lacerated neck artery

Exsanguination riskCerebral ischemia risk

Patient with gunshot wound that nicked the external jugular vein, requiring manual pressure to prevent fatal bleeding. Rhodes prioritizes him for surgery.

Also known as: Head trauma

Epidural hematomaMemory lossAltered mental status

Patient with head wound and severe confusion/memory loss from the shooting. Initially presents with disorientation but later becomes the key witness who identifies the shooter.

Also known as: Brain bleed

Death

16-year-old patient initially thought to have only a broken arm, but develops epidural hematoma while waiting for X-ray and dies. His mother had been told he was okay.

Also known as: Trauma response

DissociationRe-experiencing trauma

Female patient with yellow tag who becomes acutely dissociative and relives the shooting moment, requiring Dr. Charles to ground her back to present reality.

Also known as: Shock from blood loss

SyncopeHypotension

Patient in waiting room suddenly passes out from blood pressure dropping too low, likely due to underlying fracture causing internal bleeding.

Also known as: Suicide attempt

Self-inflicted lacerationsSuicide attempt

The mass shooter, who killed his wife earlier, presents as a victim named Trevor refusing treatment. Shows survivor's guilt and suicidal ideation, eventually slashes his wrist and stabs himself in the abdomen requiring emergency surgery.

Chicago Med — S03E18Patient: Trevor (Trent Harris)

Also known as: Breathing failure

Need for mechanical ventilationVentilator shortage

Multiple patients require intubation and mechanical ventilation. The ED runs out of ventilators, requiring creative solutions like splitting ventilators between two patients of similar size.

Also known as: Shock from blood loss

CoagulopathyMulti-organ failureDeath

Multiple trauma patients develop hemorrhagic shock from gunshot wounds, requiring massive transfusion protocol with blood products and rapid surgical intervention to control bleeding.

Facial traumasupporting

Also known as: Face injury

Airway compromiseInability to intubate

Patient with massive facial trauma from gunshot wound where 'half his face is gone' requiring cricothyrotomy instead of standard intubation due to inability to secure airway.

Crush injurysupporting

Also known as: Trampled

Cardiac arrestDeath

Victim trampled in the stampede arrives pulseless and without breath sounds, with fixed and dilated pupils. Declared dead with no family present.