TvDx
ER

ERNBC

Season 10, Episode 8

16 medical diagnoses portrayed

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Pneumoniasupporting

Also known as: Lung infection

HypoxiaSepsisHypotension requiring vasopressor support

Patient admitted with pneumonia requiring IV antibiotics, later develops sepsis and hypotension requiring dopamine. Becomes combative and is restrained. Later suffers minor burns during the helicopter crash incident.

ER — S10E08Patient: Mr. Garland

Also known as: Pregnancy loss

HemorrhageUterine fibroids causing persistent bleeding

HIV-positive pregnant woman at 6 weeks presents with vaginal bleeding and open cervix, ultimately suffers miscarriage. Complicated by multiple uterine fibroids causing ongoing hemorrhage requiring transfusion and surgical intervention.

ER — S10E08Patient: Loren

Also known as: Uterine fibroid

Severe hemorrhage requiring hysterectomy

Patient's fibroids involve the uterine artery, causing severe bleeding after miscarriage that cannot be controlled with D&C or myomectomy, ultimately requiring emergency hysterectomy despite patient's desire to preserve fertility.

ER — S10E08Patient: Loren

Also known as: Broken pelvis

Hypotension from hemorrhageBilateral pubic rami fracturesShattered acetabulum

VIP real estate developer involved in motor vehicle collision with intrusion. Initially hypotensive from pelvic bleeding, later found to have bilateral pubic rami fractures and shattered acetabulum requiring transfer to Mayo Clinic for orthopedic surgery.

ER — S10E08Patient: Morgan Westbrook
Glaucomasupporting

Patient presents with eye pain, being treated inappropriately with marijuana (Kona Gold) as herbal remedy. Morris prescribes appropriate eye drops (Timoptic).

Scabiessupporting

Also known as: Bugs crawling under skin

Patient initially thought to have psychiatric delusions of bugs crawling under skin, but actually diagnosed with scabies.

Also known as: Asthma attack

Respiratory distress requiring heliox therapy

Patient worsens and requires respiratory therapy with heliox to improve oxygenation.

Also known as: Tendon cut

Complex hand laceration from kitchen knife while carving turkey, requiring surgical repair of extensor tendon with figure-of-eight suture technique.

Also known as: Kidney injury from bus accident

Ongoing hemorrhage requiring surgical intervention

Multiple helicopter crash victims with liver lacerations requiring emergency hemostasis with Vicryl mesh and operative repair.

Also known as: Stab wound to neck

Carotid artery injuryAcute stroke with left-sided paralysisExpanding hematoma requiring intubation

Flight nurse from helicopter crash with through-and-through penetrating neck injury. Develops carotid artery injury causing stroke with dense left-sided paralysis. Pratt performs emergency endovascular stent placement to restore cerebral blood flow.

ER — S10E08Patient: Mel

Also known as: Ruptured spleen

Delayed hemorrhagic shockRespiratory failure requiring intubation

Helicopter crash victim initially appears stable but develops delayed presentation of splenic injury with metal fragment embedded. Slow leak causes progressive hypotension and respiratory failure requiring emergency intubation by Abby and splenectomy.

ER — S10E08Patient: Chuck (Abby's ex-husband)
Recurring storyline

Also known as: Heart failure

Pulmonary edemaHypotensionVentricular tachycardia

Patient initially admitted for heart failure, then injured in helicopter crash with crush injuries and rhabdomyolysis. Heart too weak for amputation surgery. Develops v-tach and cardiac arrest requiring resuscitation. Successfully revived with aggressive treatment including cooling.

ER — S10E08Patient: Reina Flores

Also known as: Rhabdo

Cardiac arrhythmiasHyperkalemia

Crush injury from helicopter crash causes muscle cells to break down and release contents into circulation, leading to life-threatening cardiac arrhythmias in patient with underlying heart failure.

ER — S10E08Patient: Reina Flores
Flail chestsupporting

Also known as: Multiple broken ribs on both sides

Respiratory compromise

Helicopter crash victim with multiple rib fractures causing paradoxical chest wall movement, requiring operative fixation.

Also known as: Internal bleeding

Hemorrhagic shock

Helicopter crash victim with hypotension and rigid abdomen indicating internal bleeding, requiring emergency exploratory laparotomy.

ER — S10E08Patient: Berta (Mr. Garland's wife)

Also known as: Smoke inhalation

Endotracheal tube meltingAirway aspirationRespiratory failure

Helicopter crash fire victim with severe airway burns that melted the ET tube, causing aspiration requiring emergent removal and reintubation under difficult conditions.