TvDx
ER

ERNBC

Season 14, Episode 19

6 medical diagnoses portrayed

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Also known as: Heart attack

Ventricular tachycardiaCardiac arrest

A man in witness protection experiences chest tightness and anxiety which progresses to ventricular tachycardia requiring defibrillation, then suffers a STEMI requiring emergent cardiac catheterization. His case drives the episode's central plot involving federal marshals and security concerns.

ER — S14E19Patient: Art Masterson (Arnie Markowitz)

Also known as: Blood clot in lung

Cardiac arrestPulseless electrical activitySevere acidosisDeath

A lupus patient presents with seizure and is later found to have a massive pulmonary embolism causing cardiac arrest. Despite resuscitation efforts including multiple rounds of epinephrine, she dies due to prolonged oxygen deprivation. Her daughter Christine is her caregiver.

ER — S14E19Patient: Mrs. Barcenilla

Also known as: Seizure

Patient with lupus presents with first-time seizure requiring Dilantin and full neurological workup including head CT, metabolic panel, toxicology screen, EEG, and neuro consult before the underlying pulmonary embolism is discovered.

ER — S14E19Patient: Mrs. Barcenilla

Also known as: Lupus

Seizure disorderPulmonary embolismHypotension

Chronic autoimmune condition being treated with prednisone and Plaquenil, which predisposes the patient to thromboembolic complications including the fatal pulmonary embolism.

ER — S14E19Patient: Mrs. Barcenilla
Empyemasupporting

Also known as: Pus in chest cavity

A fireman patient requires drainage of empyema and PCA pain management. Mentioned briefly as part of Neela's patient caseload.

ER — S14E19Patient: Fireman (unnamed)

Also known as: Post-op infection

Pan-resistant bacterial sepsisDeath

Case presented at M&M conference where Neela performed infected graft removal and abdominal washout. Patient subsequently died from pan-resistant acinetobacter sepsis, leading to discussion of antibiotic redosing protocol during surgery.