TvDx
ER

ERNBC

Season 15, Episode 21

12 medical diagnoses portrayed

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Also known as: Head laceration

Seizure disorderRuptured eardrumScalp hematomaCSF leak (dural tear)

Felix, a high school student, presents unconscious with head injury from suffocation roulette game. He has seizures, ruptured eardrum, and dural tear requiring bed rest. Gates investigates whether this was from a fall, assault, or the dangerous choking game.

ER — S15E21Patient: Felix Kirsch

Also known as: Brain damage from lack of oxygen

Loss of consciousnessSeizure disorder

Felix eventually reveals he was playing suffocation roulette (choking game) where teens compress the chest until someone passes out. Gates educates him on the dangers of brain damage and death from this activity.

ER — S15E21Patient: Felix Kirsch

Also known as: DVT

Pulmonary embolism

24-week pregnant woman presents with left leg pain and swelling. Diagnosed with large DVT in thigh. Despite heparin treatment, develops pulmonary embolism requiring TPA administration that Banfield gives without consent to save mother and baby.

ER — S15E21Patient: Hedda Lanford

Also known as: Blood clot in lung

Respiratory distressHypotension

Hedda develops sudden chest pain while on heparin for DVT. EKG shows right axis deviation and S1Q3 pattern. Crashes before vena cava filter placement. Banfield administers TPA without consent, successfully dissolving clot and saving both mother and baby.

ER — S15E21Patient: Hedda Lanford
Massive hemorrhageSevere anemia

Patient with prior tracheostomy for myasthenia gravis develops life-threatening bleeding from pressure necrosis creating fistula between trachea and innominate artery. Banfield manages with pediatric trach and finger compression until emergency surgery.

Also known as: Myasthenia

Respiratory failure requiring tracheostomy

Background condition for patient who was trached a month ago and now presents with tracheo-innominate fistula complication.

Also known as: V-tach

Multiple ICD shocks

Camp attendee with internal defibrillator experiences V-tach during physical activity, receiving multiple shocks. Later determined to be sinus tachycardia with inappropriate ICD firing at rate of 180. Kahuna reprograms device to higher threshold.

ER — S15E21Patient: Vera

Also known as: TOF

Required BT shuntInternal defibrillator placement

Vera's underlying congenital heart condition mentioned during camp activities. She has history of BT shunt and currently has ICD that fires inappropriately during exercise.

ER — S15E21Patient: Vera

Also known as: Underdeveloped left heart

Multiple staged surgeriesHeart transplant

Emily's underlying condition requiring Norwood, Glenn, and Fontan procedures before eventually needing heart transplant. She's anxious at camp about physical activities due to her medical history and visible scars.

ER — S15E21Patient: Emily

Also known as: Common arterial trunk

Multiple surgeriesConduit replacement

Logan mentions his deceased friend Sean who died during conduit replacement surgery. Both boys had truncus arteriosus with similar surgical histories, which bonded them before Sean's death.

ER — S15E21Patient: Logan and Sean

Also known as: Myasthenia

ComaIntubationRejection after transplant

Brenner's friend is in ICU in coma with rejection after attempted heart transplant. Logan encourages Brenner to visit saying intubated patients can hear everything.

ER — S15E21Patient: Mentioned friend in ICU
Recurring storyline

Also known as: Bot fly larva

Patient presents with bot fly larva after travel to Machu Picchu. Morris identifies the endemic South American parasite that burrows under skin after fly lays eggs.

ER — S15E21Patient: Eric