TvDx
ER

ERNBC

Season 7, Episode 4

10 medical diagnoses portrayed

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Also known as: Cold exposure

Cardiac arrestVentricular fibrillation

Homeless man found in a park with severe hypothermia (core temp 86°F) and cardiac arrest. The team attempts active core rewarming with pleural and peritoneal lavage, following the principle that patients aren't dead until they're warm and dead. Despite aggressive resuscitation, the patient dies.

ER — S07E04Patient: Homeless man ('bird man')

Also known as: Second-degree burns

Smoke inhalation injury

Beauty pageant contestant injured in a hair salon chemical explosion. She sustains partial-thickness burns and lacerations to her legs plus smoke inhalation. She's concerned about competing in Miss Tri-State pageant that night. Greene arranges for a mortuary cosmetologist to help cover her wounds.

ER — S07E04Patient: Audrey Hoffman (Miss Skokie)
SplenomegalyHepatic steatosisThrombocytopeniaBleeding

End-stage pediatric patient with Niemann-Pick Type A disease presenting with bruising and bleeding due to thrombocytopenia from enlarged spleen. Mother desperately wants splenectomy to buy more time with her son. Chen advocates for surgery but Romano and other surgeons refuse, calling it inappropriate for a terminal patient.

ER — S07E04Patient: Kenneth Stein

Also known as: UTI

Altered mental statusDelirium

Elderly nursing home patient with altered mental status and combative behavior, believing he's fighting in the Korean War. Diagnosis reveals a severe UTI causing delirium. Subplot involves discovery he's AWOL from the Army since 1951, creating a social services dilemma.

ER — S07E04Patient: Mr. Mellonston

Also known as: GSW to chest

Cardiac arrestVentricular perforationHemopneumothoraxVentricular septal defect

Young female with multiple gunshot wounds including one to the chest causing hemopneumothorax. Goes into cardiac arrest requiring emergent thoracotomy. Carter performs successful Beck's suture repair of right and left ventricular perforations. Patient survives to OR for septal defect repair.

ER — S07E04Patient: Female trauma patient

Also known as: GSW

Brain death

After her sister is shot, this woman brings a gun into the ER and shoots herself in the head in front of Carter and the team. She has fixed and dilated pupils with gray matter visible. Team attempts resuscitation but she cannot be saved.

ER — S07E04Patient: Sister of female GSW patient

Also known as: Head laceration

Subdural hematomaSeizuresCerebral herniationCardiac arrest

Young assailant who attacked Luka and Abby with a pipe is brought in after Luka beat him severely. Patient has severe closed head injury with loss of consciousness, GCS of 8, multiple seizures, blown right pupil indicating herniation, and subdural hematoma. Kovac performs emergent burr hole. Patient arrests multiple times during resuscitation.

ER — S07E04Patient: Mugger who attacked Luka and Abby
Lacerationsupporting

Also known as: Cut

Patient presents with hand laceration from attempting to open a tuna can with a knife. Chen sutures the wound after performing a regional nerve block.

ER — S07E04Patient: Man who cut hand on tin can

Also known as: Facial cut

Benton's teenage nephew Jesse is brought to ER by his mother after getting into a fight. He has a superficial laceration above eyebrow and periorbital swelling. Benton considers getting a CT scan but ultimately determines it's not necessary.

ER — S07E04Patient: Jesse (Benton's nephew)
Recurring storyline
Lacerationsupporting

Also known as: Cut

Brief loss of consciousness

Kovac sustains a head laceration during a mugging attempt while on a date with Abby. He briefly loses consciousness after being hit from behind with a pipe. He refuses treatment initially but the wound requires suturing.

ER — S07E04Patient: Luka Kovac