Also known as: Skull base fracture
Paramedic Jeff sustains a basilar skull fracture after being attacked by a patient on synthetic drugs. The fracture exposes brain and spinal fluid, requiring monitoring to prevent infection.
Also known as: Spice intoxication
A patient picked up unconscious in Pershing Square becomes violently aggressive in the ambulance after consuming synthetic marijuana (spice). The condition doesn't show up on standard drug screens and causes extreme aggression requiring chemical sedation.
Also known as: A-fib
15-year-old Aubrey presents with atrial fibrillation and is found unconscious in a dressing room. Her condition deteriorates throughout the episode, eventually leading to ventricular tachycardia requiring cardioversion.
Also known as: Thyrotoxic crisis
Aubrey's mother secretly gave her thyroid medication disguised as vitamins to help her lose weight, causing toxic thyroid levels that triggered thyroid storm. This leads to heart failure and life-threatening arrhythmias.
Also known as: Heart attack
Jesse suffers a massive heart attack with inferior right ventricle involvement, requiring emergency catheterization and stent placement. He experiences complications including supraventricular tachycardia requiring adenosine to cardiovert.
Also known as: CHF
Aubrey develops acute heart failure secondary to thyroid storm, with global hypokinesis on ultrasound and an ejection fraction of 20-30%. Blood backs up into her lungs causing respiratory distress requiring BIPAP.
Also known as: V-tach
Aubrey develops ventricular tachycardia as a complication of her thyroid storm and heart failure, requiring immediate cardioversion to restore normal rhythm.
Also known as: SVT
Jesse develops paroxysmal supraventricular tachycardia post-myocardial infarction with heart rate in the 200s, requiring adenosine to chemically cardiovert and restore normal sinus rhythm.
Also known as: Broken ribs
David sustains multiple rib fractures and clavicular dislocation after being struck by a Metro train and thrown against a station wall.
Also known as: Blown bladder
David's bladder is ruptured from the impact of being hit by the train, causing pelvic free fluid visible on ultrasound and requiring surgical repair.
Also known as: Blood in chest cavity
Jesse develops bleeding into the left lung after the initial attack. Dr. Rorish initially intubates the wrong side, which is later corrected by Dr. Hudson using bronchoscopy to identify the true bleeding source.
Also known as: Stabbing
Army medic Kyle Eldrich sustains eight penetrating stab wounds with extensive blood loss and hypotension. Despite surgery, he dies from uncontrolled hemorrhage due to severe liver damage.
Also known as: Shock from blood loss
Kyle develops hemorrhagic shock from multiple stab wounds with estimated blood loss of nearly one liter and persistent hypotension despite transfusion of six units of blood.
Also known as: Heroin addiction
Kyle's wife Debbie has a substance use disorder. She left her husband bleeding after he was stabbed while trying to intervene in her drug use, highlighting the impact of addiction on the family.