Cardiology Cases From THE PITT

9 cases 6 episodes · S01E01 – S02E15

All emergency department cases involving Cardiology from The Pitt, documented with medically accurate clinical timelines, diagnostic workups, and expert clinical pearls.

Patient arriving via ambulance with severe preeclampsia symptoms.

S02E15 Complex

30s · Female

Judith Lastrade

10/10 headache and blurred vision at 36-37 weeks gestation

Judith Lastrade is a G1P0 female at approximately 36-37 weeks gestation who presents via EMS with a 2-day history of a worsening headache, now rated 10/10, accompanied by blurred vision and significant pitting edema. She has had a 'wild pregnancy' with absolutely no prenatal care, intending to have a 'free birth' without medical intervention. Symptoms were completely refractory to pre-hospital fentanyl administration.

ObstetricsNeurology +6 more

Patient Edith Lynch experiencing right-sided chest pain.

S02E14 Moderate

46 · Female

Edith Lynch

Right-sided chest pain for an hour

46-year-old female presenting with one hour of right-sided chest pain. Medical history is significant for hyperlipidemia. She received sublingual nitroglycerin and 4mg of morphine in the pre-hospital setting with minimal relief. Initial 12-lead EKG performed by EMS was interpreted as negative for STEMI.

CardiologyResuscitation +2 more

Dante arriving in the ED with a large, actively bleeding scalp laceration.

S02E12 Moderate

34 · Male

Dante Casella

Blunt trauma from a fireworks explosion in a storage unit.

Patient is a 34-year-old male who was packing class B fireworks launch tubes into a van when an explosion occurred. He was launched 10-15 feet across a garage, striking a rolled-down garage door frame. He presents with a large bleeding scalp laceration, chest pain, and tinnitus.

TraumaBlast Injury +4 more

Patient Ed Gellin exhibiting profound diaphoresis (heavy sweating) and a distressed, anxious affect. He is receiving supplemental oxygen via nasal cannula, with EKG leads placed on his chest.

S01E03 Brief

52 · Male

Ed Gellin

10/10 substernal chest pain, dyspnea, and diaphoresis.

Mr. Ed Gellin is a 52-year-old male with a significant past medical history of hypertension and hyperlipidemia. He arrived via EMS presenting with 20 minutes of acute onset, 10/10 substernal chest pain accompanied by dyspnea and profound diaphoresis. Field EKG flagged a Code STEMI.

CardiologySTEMI +2 more

Patient presenting with a framing nail embedded deeply in the left chest.

S01E03 Moderate

40s · Male

Hank

Penetrating trauma to the left chest (Nail gun injury).

Hank is a construction worker who arrived via EMS/triage after suffering a penetrating injury to his left chest from a framing nail gun. The injury occurred during a workplace 'melee' (scuffle) with his coworker, Joey, who initially pointed the nail gun at his head as a joke. Hank reports severe pain. Denies daily medications or allergies.

TraumaCardiology +4 more

Mr. Quinn being prepped with Quik-Combo defibrillation pads prior to cardioversion.

S01E03 Moderate

35 · Male

Quinn

Palpitations

35-year-old male architect presents to the ED with acute onset palpitations. Patient reports working on a deadline and vaping nicotine heavily all night, consuming 'a couple of pods'. Each pod contains approximately 40mg of nicotine. Patient admits to daily use but notes this was a significant binge. A smartwatch interrogation revealed his heart rate spiked exactly 92 minutes prior to evaluation.

CardiologyElectrophysiology +4 more

Patient presenting to the trauma bay with a severe high-voltage electrical burn to the left forearm.

S01E02 Brief

Adult · Male

Unknown

High-voltage electrocution and ventricular fibrillation

Adult male brought in by flight crew after sustaining a high-voltage electrical injury to his left forearm. He was found at an abandoned factory with bolt cutters at his side, suggesting he cut into a live wire while attempting to steal copper. Pre-hospital course was complicated by a witnessed ventricular fibrillation (V-fib) arrest requiring at least one defibrillation shock prior to ED arrival.

TraumaEnvironmental +3 more

S01E01 Complex

68 · Male

Bennet Milton

Upper abdominal pain

Patient awoke at 2:00 AM with intense upper abdominal pain that lasted approximately one hour and subsequently resolved. He reports eating a heavy, fatty meal (steak at Sullivan's) for his wife's birthday the night prior. He denies fever or vomiting. He has a history of hypertension but forgot to take his morning enalapril.

GastroenterologyPOCUS +5 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