After all, this season kicked off with Whitaker (Gerran Howell) wrapping his nearly bare fist around a man's actual heart, which is more than enough to get your own pumping. But we're not just talking about excessive amounts of blood, here—even the most routine procedures can suddenly turn jaw-droppingly unsettling.
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Dr. Garcia (Alexandra Metz), the trauma surgery fellow, prepped for a thoracotomy—a surgical incision between the ribs that allows doctors to assess the state of the thoracic cavity, or the space where your heart and lungs lie—right there in the ER, cutting open the patient's chest, retracting the tissues, and allowing Whitaker to stick his hand right in and manually pump the patient's heart, all while the chest tube they inserted filled with blood.
The procedure, along with Whitaker's internal compressions, helped get the heart back into a shockable rhythm, and after using internal paddles to defibrilate it, it began beating normally, allowing them to transfer to an operating room for continued care.
Episodes 2—3: Louie's Paracentesis
A frequent flyer named Louie (Ernest Harden Jr.), who you'll likely recognize from Season 1, arrived at the emergency room bright and early with complaints of a toothache. However, Dr. Langdon (Patrick Ball) took note of some shortness of breath, likely caused by a significant amount of swelling in his abdomen known as ascites.
All in all, the procedure seems tame in comparison to what went down just an hour prior, but, ultimately, after piercing Louie's belly with the needle, they drained approximately six liters of fluid.
While also not as gnarly as a clamshell thoracotomy, the literal "poop canon" that occurred while Whitaker coached Ogilvie (Lucas Iveson) through an elderly woman's bowel disimpaction is undeniably nauseating.
Episode 5: Debbie Cohen's 'Stainless Steel Scan'
As Dr. Garcia debated whether or not Debbie Cohen (Mara Klein), the waitress who came in at the start of the shift with complaints of pain and a rash on the top of her foot, did indeed have a case of necrotizing fasciitis, she called for imaging to confirm the diagnosis before taking her to surgery for debridement. Robby pushed back in an attempt to save the leg, pointing out that the infection was "spreading like wildfire" and needed immediate attention to prevent an amputation.
As one bystander intern summed it up, "I think I might puke."
Episode 7: Hiro's Tracheal Deviation
Okay, so, this isn't so much a gnarly procedure as it is a gnarly injury, but we think it still counts.
Dr. Robby cut through the tissue emerging from Hiro's neck, causing a small hissing sound as the air escaped and the bulge receded. They removed his breathing tube and started to manually ventilate him, which caused bubbles to accumulate in the opening of his neck as the air escaped through it, never making it to his lungs.
Related: Shawn Hatosy Teases a Dark Turn for Robby on 'The Pitt': 'There's a Glimmer in His Eye' (Exclusive)
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