Also known as: Heart transplant rejection
A cardiac transplant recipient from 2001 presents with shortness of breath and pulmonary edema after stopping his immunosuppressive medications due to their high cost. He has zero cyclosporine levels and is in acute rejection, requiring emergency transfer to Mayo Clinic.
Also known as: Broken pelvis
A 45-year-old trauma patient arrives from a plane crash scene with an unstable pelvic fracture, hypotension (90 systolic after 1 liter), requiring fluid resuscitation and assessment for vascular injury.
Also known as: Heart attack
A patient presents with crushing substernal chest pain and develops refractory ventricular fibrillation requiring prolonged CPR and multiple medications. He remains conscious during CPR but ultimately dies despite aggressive resuscitation efforts. He also has an ischemic right arm from the prolonged arrest.
Also known as: Chest injury
An 85-year-old pedestrian struck by a car has blunt chest trauma after debris from the plane crash fell onto a vehicle that hit him. He is stabilized and treated in the emergency department.
Also known as: Rebar impalement
A plane crash survivor with facial trauma and penetrating chest injury from a projectile. He develops tension pneumothorax requiring multiple chest tubes. He later aspirates a tooth fragment and requires airway management. He survives and has an epiphany about his life.
Also known as: Impalement near aorta
A plane crash survivor is found to have pulse discrepancy suggesting traumatic aortic injury, requiring urgent evaluation and likely surgical intervention.
Also known as: Liver injury
Paramedic Gates sustains blunt abdominal trauma with a hepatic laceration causing hemorrhagic shock. Neela performs an emergency field laparotomy and packs his liver to control bleeding before transport to the OR.
Also known as: Smoke inhalation
Neela suffers smoke inhalation after entering a burning building to rescue a patient. She has singed nasal hairs, expiratory wheezes, and oxygen saturation of 94%, but refuses to stay for observation.
Also known as: Broken thigh bone
A woman trapped in a building has a mid-shaft femur fracture and is impaled. Despite rescue efforts and surgery, she dies on the operating table.
Also known as: Earring aspiration
Baxter aspirates a fractured tooth fragment from his facial trauma, causing airway obstruction and respiratory failure requiring emergent removal and intubation.