TvDx
ER

ERNBC

Season 7, Episode 21

9 medical diagnoses portrayed

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Thermal burnsupporting

Also known as: Third-degree burn

Seven-year-old boy presents with partial-thickness burns to both hands after attempting to put out a fire in a can. The case reveals evidence of ongoing child abuse including old fractures and bruising.

ER — S07E21Patient: Ben Fossen

Also known as: Broken fingers

Reece, the deaf son of a recurring character, sustains a fifth metacarpal fracture in an accident while under Cleo's supervision, requiring a cast.

ER — S07E21Patient: Reece Benton
Recurring storyline

Also known as: Battered child

Spiral fracturesContusions

Seven-year-old presents with burns but examination reveals pattern of injuries including healed bilateral spiral radius fractures, bruising on the ear, and previously undiagnosed wrist fracture consistent with ongoing physical abuse by his father.

ER — S07E21Patient: Ben Fossen
Pneumothoraxsupporting

Also known as: Collapsed lung

Fifty-year-old male struck by a car while changing a tire develops pneumothorax requiring chest tube placement as part of his multi-system trauma.

ER — S07E21Patient: Jim Vogel

Also known as: Broken pelvis

HemorrhageHemorrhagic shock

Unstable pelvic fracture with ongoing hemorrhage from pelvic vessels in hit-and-run victim, leading to hypovolemic shock and ultimately death despite resuscitative efforts including emergency thoracotomy.

ER — S07E21Patient: Jim Vogel
Femur fracturesupporting

Also known as: Broken thigh bone

Fractured right femur as part of multi-system trauma in hit-and-run victim, contributing to overall injury burden.

ER — S07E21Patient: Jim Vogel

Also known as: Shock from blood loss

Cardiac arrestVentricular fibrillation

Progressive hemorrhagic shock from pelvic fracture leads to cardiac arrest and death despite massive transfusion protocol and emergency thoracotomy in the trauma bay.

ER — S07E21Patient: Jim Vogel

Also known as: Mental retardation

Adult woman with severe intellectual disability (functioning at 7-year-old level) who is left without family care after her only relative, her brother, dies in the trauma from the car accident. The episode focuses on the challenge of finding appropriate placement for her.

ER — S07E21Patient: Bonnie Vogel

Also known as: Manic depression

Abby's mother continues therapy for bipolar disorder and announces plans to move to Minnesota to start over, leading to confrontation about Abby's fears of developing the condition or passing it to children.

ER — S07E21Patient: Maggie Wyczenski
Recurring storyline