TvDx
ER

ERNBC

Season 10, Episode 18

14 medical diagnoses portrayed

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Hypothermiasupporting

Also known as: Cold exposure

Altered mental status

Homeless elderly man found cold and altered in Lincoln Park with rectal temperature of 92.3 degrees after spending the night outside in a makeshift tent.

ER — S10E18Patient: Bob Jones

Also known as: High blood sugar

Diabetic foot ulcers

Homeless patient presents with blood sugar of 435 and diabetic ulcerations on feet, though hemoglobin A1C suggests previously controlled diabetes.

ER — S10E18Patient: Bob Jones

Also known as: Heart attack

EKG shows evidence of prior MI in homeless patient with multiple medical conditions.

ER — S10E18Patient: Bob Jones

Also known as: Third-degree burn

Respiratory failureTension pneumothoraxCardiac arrest

33-year-old firefighter with 60% surface area full-thickness burns to face, neck and chest from warehouse fire collapse. Required escharotomy, developed tension pneumothorax, and ultimately died despite aggressive resuscitation.

ER — S10E18Patient: Tommy Mason

Also known as: Collapsed lung

Respiratory failure

Burn patient develops tracheal shift and puncture wound requiring emergent needle decompression during resuscitation.

ER — S10E18Patient: Tommy Mason

Also known as: Chest injury

Rib fracturesPneumothoraxHemothorax

Firefighter sustains bilateral rib fractures and pneumothorax from roof collapse at warehouse fire, requiring chest tube placement.

ER — S10E18Patient: Sandy Lopez

Also known as: Liver injury

Hemorrhagic shockDisseminated intravascular coagulation

Grade-four hepatic laceration with retrohepatic caval injury causing massive hemorrhage requiring emergency surgery with atrial-caval shunt placement. Patient dies from exsanguination and DIC.

ER — S10E18Patient: Sandy Lopez
Pelvic fracturesupporting

Also known as: Broken pelvis

Pubic rami fractures sustained in warehouse roof collapse.

ER — S10E18Patient: Sandy Lopez

Also known as: DIC

Hemorrhage

Develops DIC during trauma surgery with blood pouring from ET tube, contributing to death despite massive transfusion protocol.

ER — S10E18Patient: Sandy Lopez

Also known as: Dislocated knee

Ligament tearsPotential vascular injury

22-year-old firefighter sustains lateral knee dislocation with equivocal pedal pulses after falling during warehouse fire rescue. Requires closed reduction and likely will need ligament surgery.

ER — S10E18Patient: Andy Fash

Also known as: Smoke inhalation

Upper airway edemaRespiratory failure

Firefighter develops wheezing and upper airway burns with laryngeal edema requiring emergency cricothyroidotomy when unable to intubate.

ER — S10E18Patient: Andy Fash

Also known as: Blood around the heart

Cardiac arrest

Burn victim from warehouse fire develops cardiac injury requiring emergency thoracotomy. Patient arrested and was unable to be resuscitated.

Preterm laborsupporting

Also known as: Early labor

Cervical dilationCervical effacement

Susan experiences regular contractions with cervical changes, becoming 1 cm dilated and 50% effaced. Treated with subcutaneous terbutaline and placed on strict bed rest for remainder of pregnancy.

ER — S10E18Patient: Susan Lewis
Recurring storyline
Dementiasupporting

Also known as: Alzheimer's disease

AgitationUnsafe behavior

Pratt's father exhibits worsening dementia with behavioral issues including attempting to cook unsupervised and setting off smoke alarms. Nurse manages with PRN Klonopin and considers need for restraints.

ER — S10E18Patient: Dr. Pratt's father
Recurring storyline