Chelsea Keen: heat stroke, seizure, acute liver failure, and transplant
Chelsea's heat stroke after running in the heat escalates to seizure, acute liver failure, urgent transplant status, and liver transplant.
In Plain English
Chelsea starts with a heat emergency and quickly becomes a transplant patient because her liver fails.
What Happened in the Episode
Chelsea's seizure and worsening liver failure move her from ER stabilization to urgent transplant need.
Clinical Concept
Severe exertional heat stroke complicated by acute liver failure.
What ER Teams Would Evaluate
A real team would cool aggressively, monitor core temperature, treat seizures, trend liver and kidney labs, check clotting status, manage encephalopathy risk, screen a living donor, and coordinate transplant listing.
Treatment and Management Overview
Episode-supported treatment includes lorazepam, diuretics, lactulose, antibiotics, transplant listing, and liver transplant.
What TV Gets Right
The episode shows that heat stroke can be life-threatening and can involve more than overheating alone.
What TV Compresses
Cooling, ICU monitoring, lab trends, transplant status review, donor screening, and post-transplant course are compressed.
Sources and Further Reading
- iDRief catalog page
- Grey's Anatomy Universe Wiki - Both Sides Now
- Both Sides Now transcript
- Grey's Anatomy Universe Wiki - Both Sides NowEPISODE
Supports: Supports Chelsea's heat stroke, seizure, acute liver failure, medications, transplant status, living-donor issue, and transplant.
- Both Sides Now transcriptEPISODE
Supports: Supports scene context for Chelsea's deterioration and transplant need.
- MedlinePlus Medical Encyclopedia - Heat emergenciesTIER 1
Supports: Supports heat stroke and seizure emergency context.
- NIDDK - Liver TransplantTIER 1
Supports: Supports liver failure and liver transplant context.
- CDC NIOSH - Heat-related IllnessesTIER 1
Supports: Supports severe heat stroke complications and emergency treatment context.