TvDx
ER

ERNBC

Season 14, Episode 12

13 medical diagnoses portrayed

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Also known as: Bleeding around the liver

HypotensionHemorrhagic shock

An 11-year-old boy from a building fire presents with burns and crush injuries. He develops a subscapular hematoma (bleeding around the liver) causing hemorrhagic shock, requiring fluid resuscitation and emergency surgery.

ER — S14E12Patient: Dexter Jackson

Also known as: Broken pelvis

Hemorrhage

The same patient has symphysis separation and S-I diastasis that is initially missed but identified by Abby, leading to successful pelvic binding that controls the bleeding.

ER — S14E12Patient: Dexter Jackson
Thermal burnsupporting

Also known as: Third-degree burn

Dexter sustains 25% surface area burns to hands and chest from the building fire, requiring fluid resuscitation per Parkland formula.

ER — S14E12Patient: Dexter Jackson

Also known as: Smoke inhalation

Respiratory failure

Dexter develops respiratory distress from smoke damage to his lungs, requiring intubation before CT scan.

ER — S14E12Patient: Dexter Jackson

Also known as: Smoke inhalation

A 7-year-old girl from the same fire presents with smoke inhalation causing wheezing and decreased oxygen saturation, treated with nebulizers.

ER — S14E12Patient: Kayla Weeks

Also known as: LCA

During workup, Abby diagnoses Kayla with Leber congenital amaurosis, a genetic disorder causing center-field vision loss. The child had been hiding her vision problems, fearing rejection by foster families.

ER — S14E12Patient: Kayla Weeks

Also known as: Spinal cord damage

A 28-year-old firefighter falls 15 feet through a burning floor, sustaining a T11 vertebral fracture with spinal cord contusion. He undergoes successful surgery and begins moving his legs post-operatively.

ER — S14E12Patient: Jake Gleason
Thermal burnsupporting

Also known as: Third-degree burn

The firefighter also sustains burns to hands and face from the building fire.

ER — S14E12Patient: Jake Gleason

Also known as: Wrist dislocation

A woman presents after domestic violence with a severe wrist fracture/dislocation requiring reduction and surgical repair.

ER — S14E12Patient: Sally

Also known as: Alcohol poisoning

The domestic violence victim is intoxicated with alcohol at presentation, complicating her care and evaluation.

ER — S14E12Patient: Sally

Also known as: Alcoholism

Abby reveals to the staff that she spent the past weeks in residential detox for alcoholism, not in Croatia as believed. She is now sober and attending required AA meetings and physician diversion group as part of her probationary reinstatement.

ER — S14E12Patient: Abby Lockhart
Recurring storyline

Also known as: Grieving

An elderly woman presents with insomnia, reporting her deceased husband calling to her at night. She is ultimately found dead from what the chaplain suggests was a broken heart/desire to join her deceased husband.

ER — S14E12Patient: Mrs. Smalls
Food poisoningsupporting

Morris is suffering from food poisoning with severe nausea and vomiting, requiring IV fluids and antiemetics during his shift.

ER — S14E12Patient: Dr. Morris