Also known as: Varices from liver scarring
Dr. Dakarai is revealed to have worsening portal hypertension with esophageal varices secondary to schistosomiasis-induced liver cirrhosis. He requires paracentesis to remove 5 liters of ascitic fluid and needs a TIPS procedure, but refuses to leave the camp for treatment despite life-threatening progression of his condition.
Also known as: Liver inflammation
A 26-week pregnant woman with hepatitis E progresses to hepatic coma with severe jaundice and encephalopathy. The episode emphasizes the high mortality rate (over 30%) in pregnant women in Darfur with this condition.
An infant brought to the camp with severe dehydration, bradycardia (heart rate of 50-58), and failure to thrive. Pratt has difficulty finding IV access. The baby ultimately dies despite resuscitation efforts including epinephrine and CPR.
Also known as: Gunshot to the leg
A tribal sheik shot twice (chest and leg) by Janjaweed militia. He develops decreased breath sounds, respiratory distress, and hemopneumothorax requiring improvised chest tube placement. He is taken by police despite needing surgical care, later returns in critical condition with agonal respirations.
Also known as: Bleeding after delivery
Following emergency cesarean section for fetal distress (posterior presentation with meconium and decelerations), Sittina develops severe postpartum hemorrhage. With no blood products or pressors available, they tie off uterine arteries as a temporizing measure before dangerous transport to Al-Fashir for hysterectomy.
Also known as: Baby in distress
During labor, the fetus develops severe distress with heart rate decelerations, thick meconium, and occiput posterior presentation requiring emergency cesarean section to prevent fetal death.