TvDx
ER

ERNBC

Season 6, Episode 14

9 medical diagnoses portrayed

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Also known as: Schizoaffective disorder

violent behaviorpsychotic break

Paul Sobriki experiences his first psychotic break with schizophrenia, leading him to believe staff are trying to steal his organs. This drives the central tragedy of the episode when he stabs Carter and Lucy with a knife in a delusional attempt to protect himself.

ER — S06E14Patient: Paul Sobriki

Also known as: Stab wound

colonic lacerationrenal lacerationhemorrhagic shockcolostomy required

Carter sustains multiple stab wounds to the neck, chest, and abdomen from Paul Sobriki. He undergoes emergency surgery for severe injuries including renal laceration and colon damage, requiring a temporary colostomy. Benton successfully saves his kidney despite significant blood loss.

ER — S06E14Patient: John Carter
Recurring storyline

Also known as: Rebar impalement

aortic lacerationcardiac tamponadepulmonary embolismcardiac arrestdeath

Lucy sustains multiple stab wounds including laceration to her proximal aorta. She undergoes emergency thoracotomy and requires tracheostomy. Despite successful repair of the aorta and removal of her spleen, she develops a fatal pulmonary embolism and dies despite resuscitation attempts.

ER — S06E14Patient: Lucy Knight
Recurring storyline

Also known as: Blood clot in lung

cardiac arrestdeath

Lucy develops a massive pulmonary embolism post-operatively, causing sudden chest pain and respiratory distress. Despite attempts to place a filter and anticoagulation therapy, she throws another clot leading to cardiac arrest and death.

ER — S06E14Patient: Lucy Knight
Pneumothoraxsupporting

Also known as: Collapsed lung

Paul Sobriki sustains a pneumothorax after being hit by a car while running naked in the street. A chest tube is placed to treat the collapsed lung.

ER — S06E14Patient: Paul Sobriki
Hypothermiasupporting

Also known as: Cold exposure

Paul Sobriki presents with hypothermia (temperature 95°F) after running around naked in freezing weather during his psychotic episode.

ER — S06E14Patient: Paul Sobriki

Also known as: Kidney injury from bus accident

A patient arrives with blunt trauma from a motor vehicle accident (auto vs. pedestrian) requiring trauma evaluation.

A patient sustains penetrating trauma from a stream of pressurized oil that cuts through tissue like a projectile, requiring surgical evaluation.

Crush injurysupporting

Also known as: Trampled

hemorrhagic shockmultiple fracturesabsent pulse

A patient from an assembly-line accident arrives with crush injury to the right arm, multiple fractures, and absent pulse requiring orthopedic and vascular surgery consultation.