The Pitt Casebook - Accurately Charting Cases from The Pitt

Episode

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Showing 9 of 9 cases

EMS arriving with 89-year-old patient undergoing active CPR.

Unknown

Cardiac Arrest (Ventricular Fibrillation)

89-year-old female resident of a skilled nursing facility (SNF) with a past medical history of emphysema, congestive heart failure (CHF), and multiple sclerosis (MS). She was found in cardiac arrest at the facility. EMS found her in ventricular fibrillation (V-fib). Prior to ED arrival, she was unresponsive to three defibrillation shocks and two rounds of epinephrine. She was brought in as a 'full code' because the SNF staff was overwhelmed and unable to locate her advanced directive/DNR paperwork.

Cardiac ArrestResuscitation +3 more

Facial trauma presenting with avulsion of maxillary central incisor (Tooth #8).

S01E01 Brief

Adult · Male

Charlie

Facial trauma and missing tooth following a bar altercation.

Patient presents to the ED following a bar fight. He sustained blunt facial trauma resulting in the complete avulsion of tooth number eight. Patient was initially evaluated, deemed stable, and prepped for discharge before the unaccounted missing tooth was noted during morning rounds.

TraumaDental +2 more

Patient with Right Lower Leg Degloving Injury

S01E01 Complex

Adult · Female

Jane Doe

Extremity trauma and severe pain after falling onto subway tracks.

Patient fell from a subway 'T' platform and her foot was caught between the platform and an incoming train, resulting in a severe degloving injury and open fracture dislocation of the right lower leg and ankle. The mechanism of the fall is initially unknown; bystanders report she may have fainted, tripped, or been pushed. She was rescued by a Good Samaritan who sustained a head injury in the process. Patient presents with extreme pain refractory to initial opiate administration and an inability to provide history due to a profound language barrier.

TraumaOrthopedics +2 more

Elderly male patient presenting with confusion and fever.

S01E01 Brief

79 · Male

Joseph Spencer

Fever and cough

79-year-old male from an assisted living facility presenting to the ED with a fever and cough. He has a history of mild Alzheimer's disease. On arrival, he is tachycardic, hypotensive, and experiencing altered mental status (asking if it is dinnertime). A POLST form from his facility indicates he is to receive IV fluids and medications, but no intubation and no chest compressions (DNI/No CPR).

Infectious DiseaseSepsis +2 more

Patient presenting with severe intoxication.

S01E01 Brief

56 · Male

Louie Cloverfield

Tolerant Severe Alcohol Intoxication

Louie Cloverfield is a known patient to the ED who presented at 11:00 PM the previous night with a potentially lethal blood alcohol content (BAC) of 0.420. Due to severe chronic alcohol tolerance, he survived the acute intoxication and is currently sobering up. He is now being evaluated for acute alcohol withdrawal.

ToxicologyAddiction Medicine +1 more

S01E01 Complex

31 · Male

Otis Williams

Shortness of breath and severe fatigue after attempting a morning run.

A 31-year-old healthy male presents with shortness of breath and severe fatigue. He reports feeling fine until about two weeks ago, following the Rochester Marathon. He frequently participates in triathlons. Attempted to run this morning but had to quit after one minute due to dyspnea. No recent falls, injuries, or previous medical issues reported.

CardiologyNephrology +3 more

Patient arriving via EMS with LMA in place.

S01E01 Moderate

42 · Male

Sam Wallace

Blunt head trauma with agonal respirations after fall onto subway tracks.

42-year-old male brought in by EMS. Jumped onto the T (subway) tracks to rescue a woman who had fallen. After successfully pulling her off the tracks, he slipped while climbing back up the platform, fell backward, and struck his head. EMS noted agonal respirations. They were unable to intubate in the field and placed an LMA (Laryngeal Mask Airway) prior to transport.

TraumaNeurology +1 more

S01E01 Brief

30s-40s · Female

Sherry

Burn to the hand

Patient presents to the ED after sustaining a thermal burn to her hand from a Sterno can while allegedly making s'mores with her son. She has been waiting in the ED for hours and is anxious to leave to take her children to school.

BurnWound Care +2 more

Left shoulder with entry wound from 9mm gunshot.

S01E01 Brief

30s · Male

Virgil Straker

Gunshot wound to the left shoulder

Patient sustained a 9mm gunshot wound to the left shoulder. He was evaluated overnight. CT angiogram was negative for vascular injury. The surgical team requested overnight observation, and he has been boarding in the ED.

TraumaGunshot Wound +1 more