THE PITT // CASEBOOK

Emergency Medicine Cases From THE PITT

5 cases 4 episodes · S01E01 – S02E14

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

Patient presenting with American flag pole impaled in right chest.
S02E14 Brief
34 · Male

Barrett Dunkle

Penetrating chest trauma with retained foreign body

34-year-old male presents to the ED via EMS following a bar fight over a game of pool at a sports bar. He sustained a penetrating thoracic injury when an adversary impaled him in the right chest with an American flag pole. The object remains in situ. Patient is awake, alert, and combative on arrival.

TraumaThoracic Surgery +2 more
Provider performing costovertebral angle (CVA) percussion on Mr. Green.
S02E09 Complex
Middle-aged · Male

Mr. Green

Left flank pain

Patient presents to the ED with left-sided flank pain that began at 10:00 p.m. the previous night. He has a history of kidney stones and states this episode feels exactly the same as prior occurrences. He notes his urine is 'a bit darker than normal' but denies fever or gross hematuria. He suspects he is dehydrated.

UrologyRenal Colic +7 more
Patient unresponsive in the passenger seat of a vehicle upon arrival at the ED.
S01E03 Moderate
Early 20s · Female

Jenna

Unresponsive; suspected overdose

Jenna is a college-aged female brought to the ED by her friend in a car after being found unresponsive. The friend reports she 'won't wake up'. Jenna later admits she was studying late and couldn't sleep, so she took 'half a Xanax' for the first time. The pill was clearly counterfeit and laced with fentanyl, leading to a life-threatening opioid overdose.

ToxicologyOverdose +3 more
Patient with Right Lower Leg Degloving Injury
S01E01 Complex
Adult · Female

Minu Agrawal

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
MS3 Victoria Javadi collapsing in the trauma bay.
S01E01 Moderate
20 · Female

Victoria Javadi

Syncope during a medical procedure

Victoria Javadi is a 20-year-old third-year medical student (MS3) on her first day of clinical rotation in the Emergency Department. While observing a closed reduction of a gruesome Type 3 open fracture and degloving injury in the trauma bay, she experienced a sudden loss of consciousness and fell to the floor. Upon regaining consciousness, she initially denied fainting, claiming she tripped over a gurney. She was subsequently evaluated by the attending physician and sent to the staff lounge to recover.

SyncopeVasovagal +2 more