
Also known as: Self-inflicted gunshot wound to neck
Police officer shot in the neck during pursuit of a robbery suspect. The bullet severed his carotid artery causing severe bleeding and stroke. After stabilization with a balloon catheter, his family must decide between risky surgery or conservative management. The case centers on whether his 15-year-old son can make the medical decision as a mature minor.
Also known as: Inflamed appendix
10-year-old girl presents with fever and vomiting initially thought to be flu. Develops right lower quadrant pain and tenderness. Condition rapidly deteriorates with sepsis and hypotension requiring emergency appendectomy. Parents want transfer to another hospital, but physicians override consent due to life-threatening situation.
Also known as: Ruptured spleen
Patient initially presents with what appears to be rib bruise and shoulder pain from wrestling with nephew. Sent home but returns hours later with abdominal pain and hypotension. Ultrasound reveals splenic laceration requiring emergency surgery. Used to illustrate Kehr's sign and diagnostic error.
Also known as: Gunshot to the leg
Teenage robbery suspect shot by police arrives with no pulse after 45-minute delay in transport. Neela performs emergency thoracotomy but patient is already deceased. Later revealed he only had a BB gun, raising questions about the police shooting.
Also known as: Food poisoning
Young patient presents with fever and vomiting. Initially diagnosed as simple gastroenteritis and parent wants to leave, but patient is kept for observation.
Also known as: Brain attack
Patient mentioned in passing as being admitted to neurology from the emergency department.