Also known as: Breech birth with feet first
Claire, a gestational surrogate at 39 weeks, presents after a car accident with ruptured membranes and footling breech presentation. Despite recommendations for C-section, she opts for vaginal delivery. The baby suffers severe oxygen deprivation during delivery, resulting in hypoxic brain injury requiring ventilator support.
Also known as: Protein intolerance
A 10-year-old boy with undiagnosed metabolic disorder (likely urea cycle disorder) presents with altered mental status after eating two cheeseburgers while normally maintaining a vegetarian diet. His ammonia level is critically elevated at 214, causing encephalopathy. Treated with sodium phenylbutyrate and supportive care.
Also known as: Rebar impalement
Female patient presents with single gunshot wound to left chest sustained during carjacking. Despite aggressive resuscitation with blood transfusions and emergency interventions, patient suffers presumed great vessel injury and dies in the trauma bay.
Also known as: Broken ankle
Patient presents with possible talar fracture requiring splinting. She is highly critical of wait times and medical care throughout her ED visit.