Season 11, Episode 20

Also known as: Cyanide poisoning

Patient exposed to cyanide gas released from burning PVC and polyurethane materials in an apartment fire. Presented with hypotension, tachycardia, and characteristic red venous blood. Treated with amyl nitrate and sodium nitrate antidote kit with good response.

Also known as: Perforated intestine

Same patient from fire developed bowel perforation from unleaded glass shard that penetrated the colon during blast. Free air discovered on imaging. Required emergency surgery with possible colostomy.

Also known as: Third-degree burn

Patient sustained burns to face, arms, and belly during apartment fire explosion. Burns were managed as part of her overall trauma presentation.

Also known as: Severe spinal nerve compression

Jumper from apartment fire presented with partial saddle anesthesia and lateral lower-extremity numbness. Diagnosed with compression fracture of L1 vertebra and bilateral calcaneal fractures suggesting cauda equina involvement.

Also known as: Broken vertebra

Fire victim who jumped from building sustained compression fracture of L1 vertebra along with bilateral calcaneal fractures, raising concern for neurological compromise.

Also known as: Broken heel

Bilateral calcaneal fractures in jumper from fire, classic injury pattern from fall with landing on feet.

Also known as: Third-degree burn

12-year-old girl sustained first and second-degree partial-thickness burns to hands and forearms after deliberately starting a fire to get parental attention. Three people died in the resulting apartment fire.

Also known as: Sickle cell

Teenager with sickle cell disease presenting with foot pain crisis. Initially suspected of drug-seeking behavior but revealed he was avoiding home due to sexual abuse by mother's boyfriend. Eventually admitted for pain management and social intervention.

Also known as: Sexual abuse

Teenage sickle cell patient revealed he was being sexually abused by his mother's boyfriend, which explained his frequent ED visits and reluctance to go home. Required admission and social services intervention.

Also known as: Attention-seeking behavior

12-year-old girl deliberately set fire to apartment building to get parental attention after feeling neglected. Fire resulted in three deaths and multiple injuries. Required psychiatric evaluation and juvenile detention placement.