Also known as: Cesarean assault trauma
Violet is found after being assaulted by her patient Katie, who performed an illegal cesarean section on her and took her baby. Violet suffers massive blood loss, hypovolemic shock, and multiple organ injuries requiring emergency surgery to control hemorrhaging from mesenteric arteries and other vessels.
Also known as: DIC
During surgery, Violet develops DIC with fibrinogen levels less than 100 and bleeding from multiple sites. She is unresponsive to platelets and FFP, requiring treatment with antithrombin to break the coagulation cascade.
Also known as: Blood around the heart
During closure, Violet develops ventricular fibrillation and cardiac arrest. Addison diagnoses pericardial tamponade and performs emergency pericardiocentesis with a spinal needle to drain fluid from around the heart, restoring cardiac function.
Also known as: Ruptured spleen
The newborn baby suffers a Grade 4 splenic laceration from being cut out during the assault, presenting with abdominal bruising, marked anemia, and hemorrhagic shock. Addison performs emergency surgery to repair the spleen using vascular clamps, cauterization, and vicryl mesh.
Also known as: Postpartum psychosis
Katie, Violet's patient with a history of mental illness, experiences a psychotic break that leads her to assault Violet and steal her baby, believing it to be her own. She shows up at the hospital with the baby, delusional about having given birth herself.
Also known as: Grieving
Pete is struggling with complicated grief following his wife Anna's death from an aneurysm. He reveals in therapy that he hated his wife after their contentious relationship and didn't realize she had died during an argument, leading to profound guilt and emotional turmoil.
Also known as: Brain aneurysm
Pete's wife Anna died suddenly in her sleep from a ruptured cerebral aneurysm four days before the episode begins. This is referenced as the catalyst for Pete's grief and is central to his therapy sessions with Violet.