Also known as: Alcohol withdrawal
Louie, a recidivist patient, returns to the ER intoxicated shortly after discharge. He was prescribed Librium for alcohol withdrawal but drank vodka instead, highlighting the challenges of treating chronic alcoholism.
Also known as: Pacemaker problems
Willie, an 81-year-old former Freedom House medic with dementia, presents with severe bradycardia (heart rate of 30) due to disconnected pacemaker wires. He requires transvenous pacing and is later diagnosed with Twiddler's syndrome.
Also known as: Complete heart block
Willie's EKG shows complete AV dissociation, requiring temporary transvenous pacing until his pacemaker can be surgically replaced.
Willie inadvertently manipulated his pacemaker, causing the wires to twist and disconnect from the generator box, requiring replacement surgery.
Also known as: Crushed finger
Rocco presents with fourth fingertip amputation at the nail base with exposed bone after crushing it under an air conditioning unit. The team performs a V-Y flap reconstruction.
Also known as: Heavy metal poisoning
An influencer in Central Eight is found to have sky-high mercury levels from contaminated face cream, causing neuropsychiatric symptoms. Chelation therapy with DMSO is initiated.
Also known as: Drowning
Six-year-old Amber is found at the bottom of a pool in asystole with severe hypothermia (85°F). Despite resuscitation efforts and rewarming, she dies with a fatal potassium level of 12.2.
Also known as: Heart stopped
Amber presents in asystole following drowning. Prolonged CPR and rewarming efforts are unsuccessful due to severe hyperkalemia.
Also known as: Hypothermia
Amber's core temperature is 85°F on arrival, requiring aggressive rewarming with heated IV fluids and the Arctic Sun device before defibrillation can be attempted.
Also known as: High potassium
Amber's potassium level is 12.2, which is cited as incompatible with survival. This finding leads to the decision to terminate resuscitation.
Also known as: Black widow spider bite
A Crohn's patient presents with severe abdominal rigidity initially thought to be peritonitis. Doctors discover a black widow spider bite on her foot causing muscle spasms, treated with diazepam.
Also known as: Chlamydia
18-year-old Piper presents with dysuria and is diagnosed with chlamydia from a previous boyfriend. The case raises concerns about possible trafficking due to her controlling boss.
Also known as: Alzheimer's disease
Willie has documented mild dementia and is on Namenda. His altered mental status worsens with bradycardia-induced hypoperfusion.
Also known as: Heart failure
A CHF exacerbation patient who has been boarding in the ER for two days finally wins the lottery for a telemetry bed upstairs.
Also known as: Crohn's disease
Dolores has a history of Crohn's disease with prior colectomy. Her abdominal pain initially raises concern for perforation or fistula but is ultimately due to spider envenomation.
Also known as: Opioid overdose
A fentanyl overdose patient named Nick is brain dead and undergoing an honor walk as an organ donor. His case frames the episode emotionally.