Also known as: Broken pelvis
92-year-old woman with fractured acetabulum and S.I. joint disruptions from a fall down stairs, complicated by internal bleeding and shock. Her unstable condition prevents evacuation during the blackout, and she experiences delirium manifesting as reliving World War II experiences.
Also known as: Slow heart rate from anesthesia
52-year-old woman undergoing breast reconstruction surgery who develops propofol-related bradycardia during the procedure, with heart rate dropping to 30 and requiring atropine, pacing, and later develops SVT requiring adenosine cardioversion during the blackout.
Also known as: Baby stuck during delivery
36-week pregnant woman in labor who becomes trapped in an elevator during the blackout. Baby becomes stuck during delivery, requiring an emergency symphysiotomy to widen the pelvis and allow delivery.
Also known as: Ruptured triple-A
Patient initially thought to have ovarian torsion is discovered to have a large pulsatile abdominal mass indicating an aortic aneurysm. The aneurysm ruptures during evacuation, requiring emergency thoracotomy and cross-clamping in an ambulance.
Also known as: Brain bleed
Patient who fell and hit his head, developing a small epidural hematoma on CT scan. Despite attempts at medical management, he progresses to brain herniation with fixed and dilated pupils, dying before surgical intervention can be performed.
Also known as: Low potassium
Young woman presenting with dizziness, weakness, and irregular pulse. Found to have low potassium from excessive licorice root tea consumption, causing cardiac arrhythmia with U-waves on monitor. Treated with potassium replacement.
Also known as: Kidney stones
Male patient with severe pain from passing a kidney stone, treated with Dilaudid. Successfully passes the stone by the end of the episode.
Also known as: Confusion
92-year-old patient experiencing altered mental status, believing she is back at Fort Stevens during World War II in 1942. Likely secondary to blood loss and shock from pelvic fracture rather than primary dementia.