A 2-1/2 month old male infant presented to the emergency department via ambulance in full arrest. The baby had been well until 3 days prior when he developed a mild upper respiratory tract infection. On the day he presented to the ED, his appetite has been somewhat decreased, but there are no other symptoms. His mother put him down to sleep after feeding. She checked him approximately 30 minutes later, because of the recent URI, and found him apneic, pale, mottled, and limp. She attempted CPR briefly called got her husband to called 108 Emergency Ambulance.

CPR and resuscitation standing orders were implemented in transport. The patient arrived intubated with an intraosseous infusion. Two doses of epinephrine were administered. Birth History:   Born at term with a birth weight of 3.3 kg (7 lbs. 4 oz). Uncomplicated perinatal and neonatal course; normal spontaneous vaginal…