TvDx
ER

ERNBC

Season 1, Episode 19

11 medical diagnoses portrayed

Watch on Amazon

Also known as: Pregnancy-induced seizures

SeizuresPlacental abruptionDisseminated intravascular coagulation (DIC)Maternal death

Pregnant patient initially misdiagnosed with simple UTI presents with eclamptic seizures requiring emergency delivery. Initially managed with magnesium sulfate, but develops severe complications including placental abruption and DIC leading to maternal death despite resuscitation efforts.

ER — S01E19Patient: Jodi O'Brian

Also known as: Baby stuck during delivery

Fetal distressNeonatal asphyxia

During vaginal delivery attempt, baby's shoulder becomes impacted behind the mother's pubic bone. Multiple maneuvers fail, requiring emergency cesarean section with Zavanelli maneuver (pushing baby back into birth canal).

ER — S01E19Patient: Baby O'Brian (Jared)

Also known as: Abruption

Massive hemorrhageDisseminated intravascular coagulation (DIC)Maternal death

Discovered during emergency C-section when two liters of blood found in uterus. Leads to massive hemorrhage and contributes to patient's death despite transfusions and resuscitation.

ER — S01E19Patient: Jodi O'Brian

Also known as: DIC

Uncontrolled bleeding from all sitesCardiovascular collapseDeath

Patient develops DIC as complication of placental abruption and massive hemorrhage. Blood stops clotting, patient bleeds from all puncture sites and surgical incisions. Treated with cryoprecipitate and platelets but patient dies.

ER — S01E19Patient: Jodi O'Brian

Also known as: Baby not breathing at birth

Cardiac arrestHypoglycemia

Newborn delivered apneic with flaccid tone and Apgar of zero. Requires intubation, CPR, umbilical line placement, and resuscitation with epinephrine and glucose. Eventually stabilizes with Apgar improving to 8.

ER — S01E19Patient: Baby O'Brian (Jared)
Hip fracturesupporting

Also known as: Broken hip

Elderly woman presents with hip fracture requiring surgical repair. Causes conflict when her son Dr. Benton demands to scrub in on the surgery.

ER — S01E19Patient: Mrs. Benton (Peter Benton's mother)
Febrile seizuresupporting

Also known as: Fever seizure

Three-month-old infant presents seizing with fever of 105 degrees, briefly mentioned at episode opening.

Gunshot woundsupporting

Also known as: GSW

Hemorrhagic shockCardiac arrest

Patient with single gunshot wound presents in shock, arrests, and requires emergency thoracotomy to cross-clamp the aorta. Successfully resuscitated and taken to OR.

Also known as: Insecticide poisoning

Cholinergic crisisRespiratory failureHypotension

Patient brought in by mother, found unconscious at work (nursery/greenhouse). Presents with pinpoint pupils, frothing at mouth, and hypotension. Treated with atropine after exposure to insecticides.

Cystitissupporting

Also known as: Bladder infection

Initial misdiagnosis in pregnant patient who actually has preeclampsia/eclampsia. Urinalysis shows white cells and bacteria, leading Dr. Greene to incorrectly diagnose simple UTI and miss warning signs of eclampsia.

ER — S01E19Patient: Jodi O'Brian

Diabetic patient attempts to remove tattoo using a power sander, creating significant skin injury requiring plastic surgery consultation and possible skin graft.

ER — S01E19Patient: Mr. Longet