TvDx
ER

ERNBC

Season 5, Episode 8

9 medical diagnoses portrayed

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Also known as: Ruptured spleen

HemorrhageMultiorgan system failureRenal failureComaCardiac arrhythmiaSeizures

Corinna, a young girl, suffers a grade-2 splenic laceration from an MVA. The injury becomes life-threatening due to a rare hemolytic transfusion reaction requiring an extensive search for compatible blood from her father. She develops multiorgan failure including renal shutdown, seizures, and coma despite successful bloodless surgery.

ER — S05E08Patient: Corinna Sawyer

Also known as: Wrong blood type transfusion

Acute hemolysisRenal failureMultiorgan failure

Corinna develops a severe hemolytic reaction to type-specific blood transfusion due to rare antibodies (Vel and Lan antigens). Her body destroys transfused red blood cells, dropping her crit dangerously and making her one-in-50-million difficult to match, requiring extensive donor search.

ER — S05E08Patient: Corinna Sawyer

Also known as: Multiple organ failure

Renal failureCardiac arrhythmiaSeizuresComa

Due to prolonged oxygen deprivation from severe anemia and delayed blood transfusion, Corinna develops multiorgan failure affecting her kidneys, heart, and brain. She enters a coma and requires multiple medications to stabilize.

ER — S05E08Patient: Corinna Sawyer

Also known as: Kidney failure

Corinna's kidneys shut down as part of her multiorgan failure. She is too unstable for dialysis, and the damage may be permanent.

ER — S05E08Patient: Corinna Sawyer

Also known as: Seizure

Corinna experiences seizures due to hypoxia and low blood oxygen levels. She has breakthrough seizures despite treatment with Ativan and phenobarbital.

ER — S05E08Patient: Corinna Sawyer

Also known as: Abnormal EKG

Ventricular tachycardiaCardiac ischemia

During surgery, Corinna develops dangerous heart arrhythmias including PVCs and ventricular tachycardia due to critically low hemoglobin and cardiac ischemia. She requires lidocaine and cardioversion.

ER — S05E08Patient: Corinna Sawyer

Also known as: Head cut

The father sustains a minor scalp laceration requiring sutures from the same MVA that injured his daughter.

ER — S05E08Patient: Keith Nelson (Corinna's father)

Also known as: Dislocated shoulder

Carter falls into a cockfighting ring while searching for the father and dislocates his shoulder. Lucy performs a field reduction using countertraction.

ER — S05E08Patient: John Carter
Tuberculosissupporting

Also known as: TB

Hemoptysis

Carter discovers Mrs. Price, mother of informant Toby, with active tuberculosis presenting with chronic cough and hemoptysis. He recognizes the contagious risk to the housing project.

ER — S05E08Patient: Mrs. Price (Toby's mother)