Also known as: Wishbone injury
Aliyah sustained a severe wishbone pelvic fracture from being hit by a train while trying to save Jessica. The force of the train broke her pelvis and split her insides apart, causing life-threatening internal injuries and massive bleeding that required emergency surgery.
Also known as: Head trauma
Aliyah showed sluggish pupillary reflexes after the train accident, requiring a head CT to rule out traumatic brain injury. She remained unconscious for much of the episode.
Also known as: Blood in chest cavity
Jessica had a hemothorax on her right side from the train impact that required drainage with a chest tube, though it remained stable.
Also known as: Broken bones
Jessica sustained multiple fractures including two in her left leg that required surgical intervention to prevent loss of leg function.
Also known as: Internal bleeding
Jessica required exploratory laparotomy to evaluate and control the source of her internal bleeding from the train accident.
Also known as: Torn blood vessel in the lung
Aliyah had a lacerated pulmonary artery discovered during surgery that caused life-threatening bleeding. Dr. McConnell recommended a sternotomy for better surgical access, which successfully controlled the bleeding.
Also known as: Suicide attempt
Both teenagers stepped in front of a train together as a suicide pact, driven by Jessica's fear of being sent to conversion therapy camp and their desire to 'be together forever.' This was the central catalyst for the episode's trauma cases.