TvDx
ER

ERNBC

Season 3, Episode 6

12 medical diagnoses portrayed

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Also known as: Collapsed lung with blood and air in chest cavity

The pediatrician father suffers a tension hemopneumothorax from the motor vehicle accident, requiring emergency needle decompression and chest tube placement in the field by the flight crew.

ER — S03E06Patient: Dr. David Herlihy

Also known as: Internal bleeding

Hemorrhagic shock

The 8-year-old son has internal abdominal bleeding confirmed by peritoneal lavage, requiring emergency exploratory surgery to repair a pancreatic injury.

ER — S03E06Patient: Zach Herlihy
Post-operative bleeding

Zach requires surgical resection and repair of his pancreas with splenic vein repair during exploratory laparotomy performed by Benton.

ER — S03E06Patient: Zach Herlihy

Also known as: Perforated intestine

Intraperitoneal bleedingPneumothoraxCardiac arrestIatrogenic liver laceration

The 10-day-old infant has a perforated small intestine from the accident. During surgical repair, Gant causes iatrogenic liver bleeding leading to massive complications requiring ECMO bypass after cardiac arrest.

ER — S03E06Patient: Megan Herlihy

Also known as: Head trauma

Retrograde amnesiaAltered mental status

The father sustains a head injury causing persistent confusion, disorientation, and retrograde amnesia despite normal CT and MRI scans, repeatedly forgetting about the accident and his family's injuries.

ER — S03E06Patient: Dr. David Herlihy
Facial traumasupporting

Also known as: Face injury

Airway compromise requiring intubation

Zach has facial fractures that compromise his airway, requiring emergency intubation in the field using rapid sequence induction.

ER — S03E06Patient: Zach Herlihy

Also known as: Broken leg bones

The mother sustains a tib-fib fracture in the accident but remains stable enough to consent to her infant daughter's surgery.

ER — S03E06Patient: Gail Herlihy

Also known as: Liver injury

Hemorrhagic shockPneumothoraxCardiac arrest

During repair of the infant's intestinal perforation, Gant causes uncontrolled bleeding from the liver by attempting to clean debris, leading to massive hemorrhage despite multiple attempts at hemostasis.

ER — S03E06Patient: Megan Herlihy

Also known as: Heart stopped

The infant's heart stops during surgery after multiple complications including liver bleeding and pneumothorax, requiring CPR and emergency placement on ECMO bypass to restore circulation.

ER — S03E06Patient: Megan Herlihy

Also known as: Shock from blood loss

The infant goes into shock from massive blood loss during surgery, losing approximately 100cc (one-third of her blood volume) from the iatrogenic liver injury.

ER — S03E06Patient: Megan Herlihy

Also known as: Prostate cancer

FeverProgressive weakness

Elderly patient with terminal metastatic prostate cancer who is DNR/DNI and requests cryogenic preservation after death to join his wife who was frozen eight years earlier.

ER — S03E06Patient: Patric Brazil

Also known as: Collapsed lung

During the infant's surgical crisis, her lung collapses requiring emergency chest tube placement while on the operating table, further destabilizing her condition.

ER — S03E06Patient: Megan Herlihy