▁this ▁program , ▁real - life ▁emer gency ▁room ▁do ctors ▁discuss ▁their ▁most ▁b izar re ▁and ▁puzz ling ▁cases . ▁Typ ically ▁these ▁involve ▁medical ▁sab ot age , ▁viol ently ▁or ▁str ang ely ▁acting ▁patients , ▁life - th re aten ing ▁inj uries , ▁or ▁even ▁situations ▁in ▁which ▁the ▁E . R . ▁phys ician ▁is ▁too ▁over wh el med ▁or ▁une qui pped ▁to ▁handle ▁the ▁cas elo ad ▁but ▁cannot ▁transfer ▁responsibility ▁for ▁the ▁patient ( s ) ▁to ▁someone ▁else . ▁ ▁The ▁show ▁follows ▁a ▁re en act ment ▁format ▁in ▁which ▁the ▁real - life ▁E . R . ▁phys ician ▁narr ates ▁through ▁a ▁series ▁of ▁" t alk ing ▁head " ▁cli ps , ▁while ▁their ▁interactions ▁with ▁the ▁patient ▁are ▁re en act ed . ▁The ▁do ctors ▁often ▁play ▁themselves , ▁and ▁whenever ▁possible , ▁the ▁patients ▁themselves ▁take ▁part ▁in ▁the ▁re en act ment ▁as ▁well . ▁In ▁addition , ▁the ▁patients ▁are ▁sometimes ▁shown ▁in ▁brief ▁inter views ▁to ▁explain ▁what ▁happened ▁during ▁their ▁or de al . ▁Occ asion ally , ▁patients ' ▁names ▁are ▁changed ▁and ▁actors ▁play ▁their ▁roles . ▁All ▁cases ▁are ▁based ▁on ▁actual ▁events , ▁but ▁may ▁have ▁the ▁surrounding ▁circumstances ▁changed ▁for ▁the ▁sake ▁of ▁dram at ization ▁and ▁not ▁necessarily ▁accurate ▁from ▁a ▁clin ical ▁or ▁technical ▁stand point . ▁ ▁On ▁November ▁ 1 1 , ▁ 2 0 1 5 , ▁the ▁show ▁was