TvDx
ER

ERNBC

Season 4, Episode 16

7 medical diagnoses portrayed

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Also known as: Cyanide poisoning

SeizuresBradycardiaHypotensionHyperthermia

A 6-year-old boy presents seizing after his stepbrother Eric gives him a mixture of photographic print developer and insecticide containing cyanide. The episode centers on diagnosing the conflicting symptoms and getting Eric to reveal what poison he gave Adrian, ultimately treating with cyanide antidote protocol.

ER — S04E16Patient: Adrian Reynolds

Also known as: Drug overdose

Respiratory arrestCardiac arrestAspirationAnoxic brain injury

Carter's cousin Chase arrives in respiratory and cardiac arrest after overdosing on heroin along with several others who tried a new, lethal mix. Despite resuscitation, he suffers probable severe anoxic brain damage. This drives major family conflict as Carter had been secretly helping Chase detox.

ER — S04E16Patient: Chase Carter
Recurring storyline

Also known as: Ruptured aneurysm

Cerebral edemaIncreased intracranial pressure

A motorcycle accident victim is inappropriately transferred from Bellarmin Hospital after a ruptured aneurysm causes subarachnoid hemorrhage. The episode deals with the dump transfer, debate over surgical intervention (partial frontal lobectomy), and the uninsured patient's son arranging surgery at Bellarmin with the original neurosurgeon.

ER — S04E16Patient: Tom Dibble

Also known as: Terminal lung cancer

Pleural effusionRespiratory failure

A patient with end-stage lung cancer presents with impending respiratory failure. He repeatedly refuses aggressive treatment and hospitalization. The episode concludes with him committing suicide via gunshot wound to avoid further suffering.

ER — S04E16Patient: Mr. Kyle
Urticariasupporting

Also known as: Hives

Wheezing

Patient presents with acute onset urticaria and wheezing, suspected allergic reaction to Naprosyn taken for rheumatoid arthritis. Mentioned during morning rounds.

ER — S04E16Patient: Ms. Leason
Neonatal sepsissupporting

Also known as: Blood infection in newborn

A 2-week-old baby with slightly low temperature that Kerry nearly releases but Doug recognizes as sepsis requiring antibiotics. This case drives conflict between Doug and Kerry over pediatric authority.

Also known as: Battered child

Eric, Adrian's stepbrother, has cigarette burns on his arm from his stepfather. This abuse drives Eric to poison Adrian. Both children are placed in protective custody pending DCFS investigation.

ER — S04E16Patient: Eric