
Also known as: Internal decapitation
A 10-year-old boy suffered bilateral atlanto-occipital dislocation in a multi-vehicle crash, where ligaments separated his skull from his spinal column. The only thing holding his head on was skin. Surgeons performed an unprecedented transoral approach using the OR 2.0 platform to save his life.
Also known as: Air bubbles in blood vessels
During the transoral surgery for atlanto-occipital dislocation, air was sucked into the vascular system when drilling into bone, causing air bubbles to embolize into the pulmonary artery. The OR 2.0 AI detected it and the surgical team successfully suctioned the air from the heart.
Also known as: Kidney failure
Dr. Archer is scheduled to receive a kidney transplant from his son Sean the next day. He struggles with feelings of unworthiness about accepting his son's sacrifice given his history as an addict and poor father.
Also known as: Failed kidney transplant
A 13-year-old girl who received a kidney transplant three months ago was in the car accident. Her kidney was already failing before the crash, and the seatbelt injury caused active bleeding. The kidney completely failed and she needs to return to dialysis.
Also known as: Head laceration
A woman in her 30s hit her head in the car crash. Initial CT showed only a small contusion, but she later suffered cardiac arrest from a ruptured pseudoaneurysm the CT didn't detect, leading to brain death. She became an organ donor.
A man with bipolar disorder on multiple mood stabilizers presented with elevated glucose, cholesterol, inflammatory markers, weight gain, high blood pressure, and dizziness from medication side effects. Dr. Ripley controversially took him off quetiapine, causing psychiatric decompensation.
Also known as: Manic depression
A patient with well-managed bipolar disorder became acutely agitated and paranoid when Dr. Ripley reduced his psychiatric medications to address metabolic side effects, leading to conflict between ED and psychiatry about appropriate management.
Also known as: Wrist fracture
Non-displaced fracture of the distal radius sustained in the car accident, requiring orthopedic consultation.
Also known as: Brain bleed
The driver who caused the multi-vehicle accident developed a subdural hematoma worsened by blood thinners. She initially refused life-saving surgery due to guilt and suicidal ideation, but Dr. Charles convinced her to accept treatment.