THE PITT // CASEBOOK

The Pitt Season 1 Episode 3

Emergency Medicine Case Files & Clinical Analysis

Every emergency department patient from Season 1 Episode 3 of The Pitt, charted with medically accurate clinical documentation, diagnostic workups, and expert clinical pearls.

Episode
Specialty
Showing 4 of 4 cases
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
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
Mr. Quinn being prepped with Quik-Combo defibrillation pads prior to cardioversion.
S01E03 Brief
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