TvDx
ER

ERNBC

Season 15, Episode 1

14 medical diagnoses portrayed

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Also known as: Blast lung

Respiratory failureHypoxemia

Dr. Pratt suffers bilateral pulmonary contusions from the ambulance explosion, causing progressive hypoxemia requiring intubation and eventual cardiac arrest.

ER — S15E01Patient: Greg Pratt

Also known as: Broken jaw

Carotid artery lacerationHemorrhage

Pratt sustains a jaw fracture from the explosion that later causes a fragment to lacerate his carotid artery, requiring emergency surgical intervention.

ER — S15E01Patient: Greg Pratt

Also known as: Gunshot wound to the neck

Expanding neck hematomaHemorrhagic shockStroke risk

A mandible fragment lacerates Pratt's carotid artery causing massive hemorrhage. Neela performs emergent surgical ligation at bedside, accepting stroke risk.

ER — S15E01Patient: Greg Pratt

Also known as: Air bubbles in blood vessels

Cardiac arrestBrain death

Pratt suffers cerebral air embolism from the blast injury, leading to ventricular fibrillation, cardiac arrest, and ultimately brain death despite ECMO support.

ER — S15E01Patient: Greg Pratt

Also known as: Brain death

After cardiac arrest from air embolism, Pratt is diagnosed with brain death via isoelectric EEG, absent brainstem responses, and failed apnea testing. He becomes an organ donor.

ER — S15E01Patient: Greg Pratt

Also known as: Stab wound

Mesenteric artery hemorrhageHemorrhagic shock

Paramedic Bardelli is impaled by debris from the ambulance explosion, causing intra-abdominal hemorrhage requiring urgent surgical intervention.

ER — S15E01Patient: Lou Bardelli
Pneumothoraxsupporting

Also known as: Collapsed lung

Bardelli develops pneumothorax from the blast injury requiring chest tube placement and surgical repair.

ER — S15E01Patient: Lou Bardelli

Also known as: Wrist fracture

Abby sustains a wrist fracture while responding to the ambulance explosion scene, requiring splinting and restricting her ability to perform procedures.

ER — S15E01Patient: Abby Lockhart

Also known as: Cyanide poisoning

Metabolic acidosisCardiac arrhythmia

Young asthmatic girl develops cyanide toxicity from inhaling fumes from a burning car interior, presenting with profound gap acidosis and arrhythmias. Treated emergently with hydroxocobalamin.

ER — S15E01Patient: Jasmine

Also known as: Asthma attack

Jasmine presents with acute asthma exacerbation from smoke exposure at the explosion scene, requiring bronchodilator therapy.

ER — S15E01Patient: Jasmine

Also known as: Broken leg

Osteomyelitis

Norman sustains a spiral tibial fracture after jumping into a well to rescue Rose. He later develops sepsis from osteomyelitis requiring surgical washout.

ER — S15E01Patient: Norman Chapman
Osteomyelitissupporting

Also known as: Bone infection

SepsisAbscess formation

Norman develops a bone infection in his fractured tibia, presenting with fever, sepsis, and fluctuant abscess requiring operative debridement.

ER — S15E01Patient: Norman Chapman

Also known as: Head trauma

Altered mental status

Rose sustains a severe concussion after falling into an access well during the explosion chaos, presenting with altered consciousness.

ER — S15E01Patient: Rose Franklin

Also known as: Broken pelvis

HemorrhageHypotension

Rose suffers an unstable pelvic fracture with ongoing hemorrhage requiring innovative preperitoneal packing technique to achieve hemostasis.

ER — S15E01Patient: Rose Franklin