Also known as: GSW
14-year-old patient shot with a hollow point bullet requiring emergency pericardiocentesis when fluid accumulated around his heart, causing dropping blood pressure and rising heart rate. Dr. Bloom performed the procedure outside protocol due to cardiac surgery being unavailable, and Reynolds later had to repair cardiac damage and perform emergency splenectomy.
Also known as: Self-inflicted gunshot wound to neck
17-year-old patient shot in the neck with the same bullet that hit Malik. Developed ascending paralysis from unstable vertebrae requiring emergency surgical stabilization. Surgery was complicated by severe bleeding due to undisclosed anabolic steroid use affecting his clotting. He ultimately died of cardiac arrest secondary to the gunshot wound.
Also known as: Blood clotting problems from steroids
Jalen's undisclosed anabolic steroid use caused severe bleeding during spinal surgery that wouldn't clot. Dr. Sharpe diagnosed this by analyzing his protein levels and A/G ratio, which revealed underlying liver damage from steroid use. Treatment with cryoprecipitate eventually controlled the bleeding.
Also known as: Ruptured spleen
During cardiac surgery on Malik, Dr. Reynolds discovered Grey Turner's sign indicating massive abdominal bleeding. He expanded the surgical field and performed emergency splenectomy to control hemorrhage from the gunshot wound.
Also known as: PTSD
Malik's aunt displays symptoms of PTSD from witnessing his shooting and likely from previous trauma including losing both of Malik's parents. Dr. Frome diagnoses her condition and explains that she's never had a good night's sleep, offering to help her so she can better support Malik's recovery.
Also known as: Low egg count
Dr. Sharpe learns she has only 5-6 eggs in her ovulation cycle (versus normal 10), with high FSH and low AMH levels indicating her ovaries are aging rapidly. This significantly impacts her fertility and she's told she needs to pursue pregnancy or freeze embryos immediately if she wants biological children.
Also known as: Throat cancer
Max's voice issues throughout the episode are revealed at the end to be cancer, not 'Nutella' or allergies as he'd been claiming. Dr. Sharpe confirms the diagnosis after performing a laryngoscopy. This is the beginning of Max's cancer storyline.