Also known as: Baby stuck during delivery
Natalie, a 35-year-old surrogate at 39 weeks gestation, develops shoulder dystocia during emergency delivery in the ED. The team successfully manages it using McRoberts maneuver and suprapubic pressure, rotating the posterior shoulder to deliver the baby.
Also known as: Bleeding after delivery
Following delivery of the placenta, Natalie develops massive postpartum hemorrhage requiring massive transfusion protocol, multiple uterotonics, and placement of a Bakri balloon. The team successfully stops the bleeding, preventing the need for hysterectomy.
Also known as: Fetal decelerations
During the shoulder dystocia, the fetal heart rate shows late decelerations indicating distress, requiring urgent delivery and neonatal resuscitation.
Also known as: Baby not breathing well at birth
Newborn presents with low Apgar score of 3 at one minute, requiring vigorous stimulation, bag-valve-mask ventilation, and suctioning to establish adequate breathing and heart rate.
Also known as: Bleeding vessels in throat
48-year-old cirrhotic ICU boarder with hepatitis B-related cirrhosis develops massive hemorrhage from esophageal varices. The team manages with massive transfusion protocol, octreotide, and placement of a Minnesota tube with dual balloon tamponade to stop the bleeding.
Also known as: Liver scarring
Patient has cirrhosis secondary to hepatitis B infection, causing portal hypertension and esophageal varices. Patient is discussed as needing to be placed on the transplant list for a new liver.
Also known as: Heroin addiction
55-year-old man from New York presents with abdominal pain and nausea but is actually in opioid withdrawal. He exhibits classic signs including dilated pupils, piloerection, hypertension, tachycardia, and agitation. He denies drug use but responds to buprenorphine, revealing his addiction.
Also known as: Drug withdrawal
Patient presents with symptoms he attributes to gastroenteritis but are actually opioid withdrawal: abdominal cramps, vomiting, diarrhea, tachycardia, hypertension, dilated pupils, piloerection, and diaphoresis. Treatment with buprenorphine resolves symptoms.
Also known as: Broken nose
Dr. Robby sustained a hairline nasal bone fracture from being punched by a patient earlier in the shift. CT scan is normal. He continues working despite the injury.
Also known as: Pregnancy loss
Dr. Collins reveals she recently had a miscarriage from an IVF pregnancy attempt. This is a deeply emotional subplot as she continues working through her grief and questions whether to continue fertility treatments.
Also known as: Broken ankle
Chad, Dr. McKay's ex-husband, broke his ankle doing something reckless with their son Harrison (riding without a helmet). He requires surgery and creates conflict about custody arrangements during recovery.