Neurology Cases From THE PITT

7 cases 6 episodes · S01E01 – S02E15

All emergency department cases involving Neurology 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 arrived via EMS after a head-on MVC into a telephone pole.

S02E14 Moderate

53 · Male

Lyman Paine

Involved in a single-vehicle head-on collision into a telephone pole.

53-year-old male presents post single motor vehicle collision. He drove head-on into a telephone pole. Airbags deployed. He was unconscious at the scene but woke up during transport. There is no scent of alcohol; EMS suspects syncope, seizure, or falling asleep at the wheel. Initially stable upon ED arrival, he shortly develops progressive bilateral upper extremity paresthesia and impending respiratory failure.

TraumaNeurosurgery +2 more

Patient unresponsive on backboard after 20-foot fall.

S02E13 Complex

Adulte · Male

Orlando Diaz

Unresponsive after 20-foot fall.

Orlando Diaz is a patient who was previously admitted for Diabetic Ketoacidosis (DKA). He eloped Against Medical Advice (AMA) because he could not afford to miss a paycheck at his second job. Shortly after leaving, he fell approximately 20 feet at his worksite. He was found unresponsive by coworkers after failing to answer his radio and brought back to the ED by EMS.

TraumaNeurosurgery +2 more

Eddie Cohen sitting awkwardly after his wife's MVA.

S02E12 Complex

84 · Male

Eddie Cohen

Unsteady gait and cognitive/motor slowing (Noted by physician; originally presented as an uninjured driver in a low-speed MVA).

84-year-old male who presents to the ED accompanying his wife, whom he accidentally backed his car into at low speed. The patient initially denies any injuries or complaints. However, the attending physician observes an unsteady gait, slow movements, and balance issues. The patient's daughter reports a recent decline in both parents' mobility and mentions the patient has a complex medical team ('a whole team of -ologists').

GeriatricsNeurology +2 more

S01E02 Moderate

19 · Male

Nick Bradley

Found unresponsive in bed by parents

19-year-old college student found unresponsive in his bed by his mother. No known medical history, no daily medications, no known allergies. Found barely breathing with pinpoint pupils and a heart rate of 38. Prehospital EMS administered Narcan which improved pupillary response, but the patient failed to breathe spontaneously and required endotracheal intubation. No obvious signs of trauma, and no drugs or alcohol were reported on the scene.

ToxicologyOverdose +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

Lethargic 4-year-old male upon ED arrival.

S01E01 Moderate

4 · Male

Tyler Jones

Lethargic and Unarousable 4-year-old boy brought to the ED by his parents.

4-year-old male with no past medical history, no antecedent illness, no fever, and no vomiting. Brought to the ED because his parents could not wake him up in the morning. Usually a highly active child. No apparent access to locked medications, no known trauma, and no sick contacts at his preschool.

PediatricsToxicology +1 more