Also known as: Acid burn
Multiple patients including Bertha James are exposed to MFCA herbicide when a hospital pipe bursts, causing chemical burns with severe complications including complete vision loss, cardiac arrhythmias, and metabolic acidosis requiring emergency decontamination and treatment.
Also known as: Impalement
Bertha James presents with accidental impalement on pruning shears. The removal of the shears causes a pancreatic storm with severe acidosis that is treated with bicarbonate.
Also known as: V-tach
Bertha develops runs of wide complex ventricular tachycardia as a complication of her MFCA chemical exposure and trauma.
Severe acidosis develops in Bertha following removal of the shears causing pancreatic storm, and is treated successfully with bicarbonate bolus. This treatment approach is then applied to other MFCA-exposed patients.
Demarcus Lott, a bike accident victim, develops a delayed expanding hematoma that compresses his airway requiring emergency drainage.
Also known as: Head laceration
Demarcus Lott presents after a taxi-to-bike collision with head trauma that initially clears on CT scan but later develops vascular complications.
Also known as: ODD
Alex, a pediatric inpatient, has ODD causing aggressive and vindictive behavior toward his mothers during family visiting day. Dr. Frome addresses how parental positivity can paradoxically trigger patients with ODD.
Also known as: MFCA poisoning
Dr. Reynolds is heavily exposed to MFCA herbicide when trying to contain the hospital leak, developing severe toxicity including vision loss and requiring decontamination and bicarbonate treatment.