Also known as: Multiple impalement injury
A 52-year-old male gardener sustains multiple penetrating injuries from wood and metal spikes when a shovel is sucked into a wood chipper. The team performs staged removal of 19 spikes over multiple surgeries, with life-threatening complications including cardiac tamponade and V-tach arrest.
Also known as: Blood around the heart
Discovered during initial trauma assessment via ultrasound, showing fluid accumulating in the pericardium from one of the penetrating spikes near the heart.
Also known as: V-tach
The patient goes into V-tach during spike removal surgery, requiring emergency cardiac massage and epinephrine to restore sinus rhythm.
Also known as: Blood vessel damage
A spike in the shoulder damages critical vascular structures including the carotid and subclavian arteries, requiring a bypass procedure. The team debates between the safer amputation versus the riskier vascular repair, ultimately attempting to save the arm with a carotid-to-subclavian bypass despite life-threatening drops in cerebral blood flow.
Also known as: GSW
A man on parole sustains a gunshot wound to the thigh at a party. To avoid violating parole, he refuses hospital treatment. Danni performs an unsupervised procedure/surgery at his apartment, discovering the bullet has fragmented and migrated deep into the adductor magnus muscle. The wound becomes infected, and he develops a thrombosis requiring emergency intervention and eventual ambulance transport.
Also known as: Wound infection
The gunshot wound becomes infected after initial fragment removal, requiring deeper surgical exploration to remove retained bullet fragments and purulence.
Also known as: Blood clot
During the unsupervised surgery, a bullet fragment causes a thrombosis in the leg, leading to poor pulses and cold extremity, prompting the emergency call for an ambulance.
Also known as: Broken spine
A dog hit by a car sustains sacral and lumbar vertebral fractures discovered during surgery, causing incontinence and walking difficulties. Shaun proposes a spinal decompression and stabilization surgery (laminectomy with screw/rod fixation from L5 to S3) to restore function.
Also known as: Broken rib
The dog sustains multiple rib fractures from being hit by a car, requiring manual reduction in the field by Shaun to improve breathing.
Also known as: Ruptured spleen
The dog sustains a damaged spleen from the motor vehicle accident, requiring exploratory laparotomy and thoracotomy for repair.
Also known as: Broken arm
The dog sustains a fractured radius (foreleg bone) from the car accident, requiring surgical repair.
Also known as: Failed IVF
Jordan reveals to Dr. Park that her embryo implantation has failed, expressing that she could feel she was pregnant and then wasn't, contributing to her emotional state during the episode.