TvDx
ER

ERNBC

Season 4, Episode 19

10 medical diagnoses portrayed

Watch on Amazon

Also known as: Torn aorta

Hemorrhagic shockCardiac arrest

A 48-year-old custodian crushed in the clinic bombing sustains a dramatic aortic dissection and rupture. Benton performs emergency thoracotomy and manually tamponades the bleeding with his finger, then assists Corday in surgery.

Also known as: Blood clot in lung

Cardiac arrestHypoxic brain injury

A pregnant 17-year-old injured in the bombing develops a pulmonary embolus causing cardiac arrest and severe brain injury. The family must decide whether to maintain her on life support to deliver the baby.

ER — S04E19Patient: Zoe Kearney

Also known as: Head laceration

A 28-year-old pregnant woman from the bombing is found unconscious with multiple lacerations and head trauma, requiring CT scan evaluation.

Hemorrhagic shockHemorrhage

A patient injured in the bombing who was undergoing a suction extraction abortion that was not completed. She hemorrhages and Anna Del Amico freezes, unable to complete the procedure, prompting Weaver to confront her about allowing personal feelings to affect patient care.

ER — S04E19Patient: Brianna Thomas

Also known as: Broken rib

Hemopneumothorax

Dr. Corday's surgical trainee is crushed under debris during rescue efforts at the bombing site, sustaining multiple rib fractures and requiring chest tube placement and peritoneal lavage.

ER — S04E19Patient: Allison
Wrist fracturesupporting

Also known as: Broken wrist

An intoxicated patient who fell over a curb sustains a wrist fracture requiring open reduction and internal fixation.

ER — S04E19Patient: Mike Lembreaux

Also known as: Severe asthma attack

Respiratory failureHypoxia

A pediatric patient brought in by his agitated father becomes cyanotic and requires emergency intubation with ketamine for critical asthma exacerbation.

Urinary tract infectionDehydrationMalnutritionPressure ulcers

An 86-year-old man living with his son presents with severe neglect including deep pressure ulcers, dehydration, malnutrition, and urine infections. Carter intervenes to have him placed in adult care, but the patient ultimately chooses to return home.

ER — S04E19Patient: Mr. Newton
Hemorrhagic shockDeath

A surgical complication during laparoscopy where Morgenstern inadvertently cuts the gastric artery, leading to massive bleeding and the patient's death. This case is the focus of the M&M conference and Morgenstern's eventual resignation.

ER — S04E19Patient: Mr. Swanson
Leukemiasupporting

Also known as: Blood cancer

Bone marrow transplant rejectionDeath

Referenced in the opening and funeral scenes, Scotty's recurring battle with leukemia has ended with his death. His funeral is held during this episode.

ER — S04E19Patient: Scotty
Recurring storyline