TvDx
ER

ERNBC

Season 6, Episode 8

8 medical diagnoses portrayed

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Also known as: Twins

Prolapsed umbilical cordPostpartum hemorrhageUterine atony

Carol goes into labor with twins at 38 weeks while on the El train. She delivers the first baby vaginally in the ER, then experiences a prolapsed cord requiring emergency C-section for the second baby, followed by life-threatening postpartum hemorrhage requiring surgical intervention to preserve her uterus.

ER — S06E08Patient: Carol Hathaway
Recurring storyline

Also known as: Cord prolapse

Fetal hypoxia

During labor with the second twin, the umbilical cord prolapses ahead of the baby, cutting off oxygen supply and dropping the fetal heart rate to dangerous levels (down to 65 bpm), necessitating an emergency crash C-section.

ER — S06E08Patient: Carol Hathaway (twin B)

Also known as: Bleeding after delivery

Uterine atonyHemorrhagic shock

Carol experiences severe postpartum hemorrhage due to uterine atony after delivering twins, losing approximately 3 liters of blood with blood pressure dropping to 70 systolic. Dr. Coburn performs an O'Leary stitch procedure to avoid hysterectomy.

ER — S06E08Patient: Carol Hathaway
Hypoglycemiasupporting

Also known as: Low blood sugar

Altered mental status

18-year-old patient presents with vomiting, diarrhea, altered mental status, and glucose of 42, diagnosed with Jamaican Vomiting Sickness from eating unripe akee fruit purchased in Florida.

ER — S06E08Patient: Shelly Robinson

Also known as: Akee fruit poisoning

Hypoglycemia

Patient diagnosed with JVS (Jamaican Vomiting Sickness) from consuming unripe akee fruit from a curbside vendor in Florida, causing severe vomiting, diarrhea, and dangerously low blood glucose with high fatality rate.

ER — S06E08Patient: Shelly Robinson

Also known as: Fluid around the heart

Cardiac tamponadeCardiac arrest

Woman with chronic renal failure who missed dialysis develops pericardial effusion (fluid collection around the heart), either from trauma in ambulance accident or from uremic complications, leading to cardiac arrest and death.

ER — S06E08Patient: Dialysis patient (birthday woman)

Also known as: Kidney failure

Fluid overloadCongestive heart failureHyperkalemiaPericardial effusion

Patient with chronic renal failure missed her dialysis appointment to get her hair done for her birthday, leading to fluid overload, congestive heart failure, and ultimately fatal pericardial effusion after being in an ambulance accident.

ER — S06E08Patient: Dialysis patient (birthday woman)
Lacerationsupporting

Also known as: Cut

Mark's father slips on ice while carrying sanitary napkins for Rachel and sustains a laceration requiring approximately seven sutures and a tetanus shot.

ER — S06E08Patient: David Greene (Mark's father)