TvDx
ER

ERNBC

Season 7, Episode 22

13 medical diagnoses portrayed

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Also known as: GSW to arm

paresthesiavascular injury risk

12-year-old foster child with gunshot wound through the upper left arm during mass shooting at foster care facility. Presented with pain and paresthesia requiring vascular study.

ER — S07E22Patient: Mark Ainsley

Also known as: Gunshot wound with arterial injury

limb ischemiadiminished foot pulses

Adult female shot during foster care facility attack with significant blood loss and ischemic leg requiring emergent vascular surgery.

ER — S07E22Patient: Maria Fredrikkson

Also known as: Gunshot wound to the head

cardiac arrestbrain stem failurefixed dilated pupils

8-year-old girl shot in the head during the mass shooting who arrived in cardiac arrest with fixed dilated pupils and brain stem failure. Pronounced dead in the ER.

ER — S07E22Patient: Helen

Also known as: GSW to abdomen

hypotensionhemorrhagic shock

HIV-positive patient with GSW to abdomen causing intra-abdominal bleeding who refuses surgery due to advanced AIDS and wish to die. Major ethical conflict over respecting patient autonomy versus lifesaving intervention.

ER — S07E22Patient: Mr. Jeffries

Also known as: AIDS

declining T-cell countrising viral loadrecent pneumocystis pneumonia

Advanced AIDS with failing antiretroviral therapy drives patient's decision to refuse surgery for gunshot wound, viewing the injury as an opportunity to avoid prolonged suffering.

ER — S07E22Patient: Mr. Jeffries

Also known as: Self-inflicted gunshot wound to neck

potential esophageal injurybleeding

Young boy shot in the neck when bullet passed through his mother into him during the shooter's rampage. Mother died from her injuries, requiring Mark to deliver death notification to the child.

ER — S07E22Patient: Ted Shayatovich

Also known as: Gunshot wound to aorta

exsanguinationcardiac arrestaorta-esophageal fistula

Mother shot protecting her son, sustained devastating thoracic aortic injury that was initially contained but then ruptured through the esophagus causing massive hemorrhage and death despite emergency thoracotomy.

ER — S07E22Patient: Mrs. Shayatovich

Also known as: Spinal cord damage

paraplegiaspinal shockhypotensionParaplegia

Social worker who initiated the protective custody case shot in her home by the gunman. Sustained incomplete spinal cord injury with paraplegia from bone fragment compression requiring emergency decompression surgery. Major impact as she was targeted for her role in the case.

ER — S07E22Patient: Adele Newman

Also known as: Ewing sarcoma

Foster child discovered to have soft tissue sarcoma (Ewing type) during workup of his gunshot wound. The early diagnosis gives 70% survival chance, but highlights his isolation as he has no family support.

ER — S07E22Patient: Mark Ainsley
Blunt traumasupporting

Also known as: Hit-and-run injuries

partial ear avulsionhemorrhageEar avulsion

Police officer dragged by vehicle when shooter fled, resulting in partial ear avulsion and other trauma.

ER — S07E22Patient: Officer Colby

Also known as: Gunshot wound to the head

brain death

Cab driver shot at base of skull by the gunman, pronounced dead on arrival with extensive brain injury.

Also known as: Multiple gunshot wounds

hemorrhagic shockbilateral pneumothorax

The shooter himself, brought in with five gunshot wounds to chest and abdomen after being shot by armed civilian. Despite the team's conflict about treating him, he survives surgery. Central to the episode's exploration of trauma care ethics.

ER — S07E22Patient: Derek Fossen

Also known as: Needlestick with HIV exposure

HIV exposure risk

Benton sustains needlestick injury while treating HIV-positive patient refusing surgery, requiring immediate post-exposure prophylaxis. Creates tension between respecting patient autonomy and protecting healthcare workers.

ER — S07E22Patient: Peter Benton