Also known as: Early labor
16-year-old pregnant patient at 38 weeks presents after a car accident, found to be 2 centimeters dilated and starting labor. She initially wants to avoid delivery and requests C-section to be put to sleep, but circumstances force vaginal delivery during the hostage situation.
Also known as: Torn uterus
During labor in the ED hostage situation, Lily becomes hypotensive with bleeding, diagnosed with uterine rupture extending into the uterine artery. Requires emergency surgery in hybrid OR to control bleeding and deliver baby.
Also known as: ASD, hole in the heart
Connor's father presents with racing pulse and shortness of breath, initially attributed to stress. Found to have fluid in lungs, heart murmur, and eventually diagnosed with large ASD between left and right atria causing heart failure. Goes into V-tach cardiac arrest in the ED before being transferred for surgical repair.
Also known as: Collapsed lung
Young patient with persistent fever and septic shock develops pneumothorax during treatment in the ED, discovered when April gets air instead of blood during central line placement. Requires emergency chest tube placement.
Also known as: Life-threatening infection
Young boy with persistent fever unresponsive to medication develops septic shock during hostage situation. Presents with hypotension and seizure, requiring central line placement and pressors while trapped in the ED.
Also known as: GSW to chest
Lily's father is shot in the chest when he grabs David's gun during the hostage situation. Develops significant hemorrhage into chest requiring massive transfusion protocol and eventual transfer for surgical repair.
Also known as: Blood clot in lung
Patient diagnosed with PE in the ED, placed on heparin drip and transferred to East Mercy before the hostage situation escalates. Mentioned as one of the last emergency patients evacuated.