TvDx
ER

ERNBC

Season 4, Episode 22

8 medical diagnoses portrayed

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Also known as: Newborn heroin withdrawal

Developmental delay

7-month-old baby born addicted to heroin undergoes experimental ultrarapid detox procedure performed by Doug Ross without proper consent, becoming the central conflict of the episode and threatening Doug's career.

ER — S04E22Patient: Josh McNeal

Also known as: Blood clot in shoulder artery

Patient with fractured clavicle develops arterial thrombosis causing poor circulation to hand. Case highlights insurance coverage issues when expensive outpatient anticoagulation is denied.

ER — S04E22Patient: Mr. Wass

Also known as: Suicide attempt

Patient presents with self-inflicted wrist lacerations after marital conflict. Initially deemed non-suicidal and released, later returns and shoots his family in the ER parking lot.

ER — S04E22Patient: Mr. Nable

Also known as: Brain tumor

Obstructive hydrocephalusComa

Patient with end-stage brainstem glioblastoma presents in coma due to tumor blocking cerebrospinal fluid flow. Wife must decide between palliative care or temporary intervention.

ER — S04E22Patient: Bill Lang

Also known as: Bleeding to death

Cardiac arrest

84-year-old dialysis patient experiences accidental disconnection of femoral catheter by a sex worker, resulting in massive blood loss and cardiac arrest.

ER — S04E22Patient: Louis Palmieri

Also known as: Self-inflicted gunshot wound to neck

Spinal cord injury

Woman shot in the neck by her husband in murder-suicide attempt in ER parking lot. Survives with spinal cord injury after emergency intubation and resuscitation.

ER — S04E22Patient: Mrs. Nable

Also known as: GSW to chest

HemopneumothoraxCardiac arrestVentricular fibrillationCardiac injury

Young boy shot in chest by father, sustaining penetrating injury to right ventricle. Requires emergency thoracotomy with direct cardiac repair after going into arrest.

ER — S04E22Patient: Steven Nable

Also known as: GSW to abdomen

Hemopneumothorax

Young girl shot in abdomen by father during murder-suicide attempt. Stabilized and taken to surgery, survives the trauma.

ER — S04E22Patient: Amy Nable