TvDx
ER

ERNBC

Season 11, Episode 21

8 medical diagnoses portrayed

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Scalp avulsionsupporting

Also known as: Scalp torn off

Open fracture of metacarpalsExtensor tendon lacerations

Patient caught his hair in a car engine fan belt, resulting in complete scalp avulsion. When trying to remove his hair, he also sustained open fractures of the third and fourth metacarpals with extensor tendon injuries requiring antibiotics and surgery.

ER — S11E21Patient: Mr. Lillion
Sepsismajor

Also known as: Blood infection

Respiratory distressHypotensionRequired intubation

Eight-day-old newborn presents with fever to 104, severe respiratory distress, and septic shock. Neela independently places umbilical lines for access, which becomes a teaching point about knowing when to ask for help. The infant is stabilized and transferred to NICU.

ER — S11E21Patient: 8-day-old female infant

Kem's mother is hospitalized in Paris with viral meningitis and fever, initially concerning given her immunosuppressed state from chemotherapy. This drives Carter's trip to Paris to see Kem.

ER — S11E21Patient: Fabienne Elmont (Kem's mother)

Also known as: Blocked intestine

A 6-year-old child develops small bowel obstruction after consuming a large tub of popcorn, requiring CT and surgical consultation.

ER — S11E21Patient: 6-year-old patient

Also known as: Stab wound to neck

Air embolismCardiac arrest

Patient sustains a single stab wound to the neck affecting the jugular vein but sparing the carotid artery. Ray removes the occlusive dressing before intubation, allowing air to be sucked into the jugular, causing a fatal air embolism to the heart. She dies despite resuscitation attempts.

ER — S11E21Patient: Shelley (niece of Birdy and Rebecca)

Also known as: COPD

Acute exacerbationHypercapniaRespiratory acidosisVentricular tachycardia

65-year-old patient with emphysema presents with acute respiratory distress. Abby administers continuous albuterol with high-flow oxygen, which suppresses his hypoxic respiratory drive, leading to hypercapnia, acidosis, and ventricular tachycardia requiring resuscitation. Classic teaching case about COPD management.

ER — S11E21Patient: Arnold Brixton

Also known as: Strangulation

Elderly homeless woman presents with circumferential ecchymosis around her neck after being strangled by her niece Shelley, who was abusing her and her sister for money. She is stabilized and recovers.

ER — S11E21Patient: Rebecca

Also known as: Hodgkin's disease

Hypotension after antibiotics

Patient with Hodgkin lymphoma develops hypotension after receiving antibiotics and attempts to pull out his broviac catheter, requiring management.