TvDx
ER

ERNBC

Season 15, Episode 9

12 medical diagnoses portrayed

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Also known as: Skull fracture with brain exposure

Cardiac arrestDeath

Teenage girl ejected through rear window in motor vehicle crash, sustained open skull fracture with exposed brain matter, underwent resuscitation attempts but died despite aggressive interventions including bilateral chest tubes and pericardial tap.

ER — S15E09Patient: Ashley

Also known as: Dislocated shoulder

Required skin hooks for reductionSubsequent cardiac complications

Alex sustained a severe shoulder dislocation in a motor vehicle crash that required multiple reduction attempts with skin hooks due to the humeral head being stuck, eventually requiring surgical repair.

ER — S15E09Patient: Alex Taggart
Hemothoraxsupporting

Also known as: Blood in chest cavity

Required chest tube placement

Alex developed a small hemothorax from blunt chest trauma in the motor vehicle crash, initially stable but later required chest tube placement.

ER — S15E09Patient: Alex Taggart

Also known as: Bruised heart

Supraventricular tachycardiaHemodynamic instabilityRequired cardioversionArrhythmia

Alex developed supraventricular tachycardia from a cardiac contusion (bruised heart) due to sternal trauma from the crash, initially misdiagnosed as blood loss but correctly identified by Gates and treated with cardioversion.

ER — S15E09Patient: Alex Taggart

Also known as: Torn aorta

Delayed ruptureMassive hemothoraxCardiac arrest

Alex suffered a delayed aortic rupture while awaiting orthopedic surgery, resulting in massive blood loss into the chest cavity and cardiac arrest requiring emergency thoracotomy and vascular clamping.

ER — S15E09Patient: Alex Taggart

Also known as: Head laceration

Altered mental statusDelayed awakening

Alex sustained a severe concussion from the motor vehicle crash with prolonged altered mental status, though CT scan showed no intracranial bleeding.

ER — S15E09Patient: Alex Taggart

Also known as: Blood around the heart

Hemodynamic collapseRequired pericardial window

Leo developed cardiac tamponade from sternal contusion requiring emergent pericardial window procedure to remove blood clots from around the heart, followed by cardiac surgery.

ER — S15E09Patient: Leo

Also known as: Multiple drug overdose

Altered mental statusRespiratory depression requiring intubationCardiac tamponade

Leo ingested multiple prescription medications (opiates, benzodiazepines, marijuana) in a 'trail mix' party drug scenario, resulting in altered mental status and respiratory depression requiring intubation and treatment with Ativan and bicarbonate.

ER — S15E09Patient: Leo

Also known as: Bruised breastbone

Cardiac tamponade

Leo sustained a sternal contusion from the motor vehicle crash which contributed to his cardiac complications.

ER — S15E09Patient: Leo
Wrist fracturesupporting

Also known as: Broken wrist

Required casting

Sarah sustained a broken right wrist in the motor vehicle crash requiring casting.

ER — S15E09Patient: Sarah
Coccyx fracturesupporting

Also known as: Broken tailbone

Background patient with slip and fall resulting in broken coccyx, briefly mentioned at the beginning of the episode.

Migrainesupporting

Also known as: Migraine headache

Background patient treated with Imitrex for migraine headache, briefly mentioned at the beginning of the episode.