TvDx
ER

ERNBC

Season 2, Episode 16

11 medical diagnoses portrayed

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Also known as: Full-thickness burns

RhabdomyolysisAcute renal failureRespiratory failureHemorrhagic shock

Paramedic Raul Melendez sustains 85-90% third-degree burns after being trapped in a building fire while rescuing children. He develops multiple life-threatening complications including rhabdomyolysis, impending renal failure, and respiratory deterioration, ultimately dying by episode's end.

ER — S02E16Patient: Raul Melendez

Also known as: Smoke inhalation

Laryngeal edemaAirway obstructionCarbon monoxide poisoning

Multiple victims from the methamphetamine lab fire present with smoke inhalation injuries. An 8-year-old boy develops critical laryngeal edema requiring emergency intubation. Carbon monoxide levels are monitored in all victims.

ER — S02E16Patient: Multiple patients including children

Also known as: Superficial partial thickness burn

Eight-year-old girl from the fire with 18% second-degree burns to arms, back and leg, plus third-degree burn to thigh, requiring skin grafting.

ER — S02E16Patient: 8-year-old girl
Rib fracturesupporting

Also known as: Broken rib

Pneumothorax risk

Paramedic Shep sustains multiple rib fractures after falling 10 feet through a collapsing floor while rescuing a child from the fire.

ER — S02E16Patient: Shep
Knee sprainsupporting

Also known as: Sprained knee

Shep sustains right knee sprain from his 10-foot fall through the burning building's floor.

ER — S02E16Patient: Shep

Also known as: Seizure

Child from the fire develops seizures secondary to severe carbon monoxide poisoning and hypoxia, requiring emergency anticonvulsant therapy and hyperbaric oxygen therapy.

ER — S02E16Patient: Young boy (Max's sibling)

Also known as: Gas poisoning

SeizuresAltered mental statusCardiac dysrhythmias

Multiple victims from the fire present with elevated carbon monoxide levels. One child has severe poisoning requiring hyperbaric oxygen therapy at University of Chicago.

ER — S02E16Patient: Multiple fire victims

Also known as: V-tach

Ventricular fibrillationCardiac arrest

Young fire victim develops ventricular tachycardia requiring cardioversion, then deteriorates to ventricular fibrillation requiring defibrillation.

ER — S02E16Patient: Child from fire
Rhabdomyolysissupporting

Also known as: Rhabdo

Acute renal failureHyperkalemia

Raul develops rhabdomyolysis from extensive burns, evidenced by rising serum myoglobin levels and impending renal failure.

ER — S02E16Patient: Raul Melendez

Also known as: Shock from blood loss

Raul develops hypovolemic shock from massive fluid loss through extensive burn wounds, with unstable blood pressure requiring aggressive fluid resuscitation.

ER — S02E16Patient: Raul Melendez

Also known as: Swollen throat

Airway obstruction

Child develops life-threatening epiglottal edema and airway obstruction from thermal injury, requiring emergency intubation by Dr. Ross.

ER — S02E16Patient: Young boy from fire