TvDx
Grey's Anatomy

Grey's AnatomyABC

Season 21, Episode 18

6 medical diagnoses portrayed

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Also known as: Locked-in state

Brainstem hematomaInability to communicate or move

Nine-year-old Dylan developed locked-in syndrome following complications from surgery to remove a cavernous angioma of the brainstem. Her mother takes desperate measures including a hostage situation to force doctors to operate and reverse the condition.

Grey's Anatomy — S21E18Patient: Dylan Gatlin

Also known as: Brain stem vascular malformation

Brainstem hematomaLocked-in syndromeCoagulopathy

Dylan underwent resection of a brainstem cavernous angioma five days prior to the episode. During the hostage situation, Amelia must return to the surgical site to evacuate the resulting hematoma, with Dylan developing coagulopathy requiring fresh frozen plasma.

Grey's Anatomy — S21E18Patient: Dylan Gatlin

Also known as: Infected aortic graft

SepsisHypercoagulabilityRisk of death

Nora requires an experimental procedure to replace her infected aortic graft. Teddy performs a high-risk surgery stapling off the aorta and replacing it with a synthetic graft during the hostage crisis, successfully saving Nora's life.

Grey's Anatomy — S21E18Patient: Nora Young
Recurring storyline

Also known as: Liver injury

HemorrhageAcidosisHemodynamic instability

MVC patient with a shattered liver who underwent exploratory laparotomy. He develops worsening bleeding and acidosis during the O.R. lockdown, forcing Ben Warren to perform an emergency re-exploration in the ICU.

Grey's Anatomy — S21E18Patient: Carter Samuels
Coagulopathysupporting

Also known as: Blood clotting disorder

Uncontrolled bleeding during surgery

During the hostage situation surgery, Dylan develops coagulopathy requiring fresh frozen plasma to control bleeding and allow closure of the neurosurgical procedure.

Grey's Anatomy — S21E18Patient: Dylan Gatlin

Also known as: Brain aneurysm

Patient scheduled for aneurysm surgery with Amelia Shepherd that gets delayed due to the hostage situation involving Dylan Gatlin.

Grey's Anatomy — S21E18Patient: Ms. Alvarado