Also known as: Collapsed lung
Paul Traylor presents with a gunshot wound to the chest that causes a tension pneumothorax when the penetrating wound is improperly covered, creating a one-way valve. Abby corrects this by removing the dressing and later places a chest tube.
Also known as: Ruptured spleen
The chest tube inadvertently follows the bullet trajectory into the spleen, causing massive hemorrhage. Grady and Abby recognize this on X-ray, and Abby uses fibrin glue to temporarily control bleeding before surgical splenectomy saves the patient's life.
Also known as: Shock from blood loss
Paul experiences massive blood loss from his splenic injury, with over a liter draining from the chest tube, dropping hemoglobin and causing him to go into V-tach and nearly code before the bleeding is controlled.
Also known as: V-tach
During his hemorrhagic shock, Paul develops ventricular tachycardia requiring cardioversion with defibrillation before his bleeding is controlled.
Also known as: Cut
Zeke, a student involved in the incident that led to his coach being shot, sustains a facial laceration during a fight in the ER that requires suturing.
Also known as: Suicide attempt
Overwhelmed by guilt over his role in his coach's shooting, Zeke goes to the hospital roof contemplating suicide before Abby talks him down by offering him a syringe of potassium chloride and promising to save his coach.
Also known as: Food poisoning
Two young boys present with vomiting after attending a bowling party, likely from eating too much cake. They are treated with fluid challenge and observation.