Brought in by both parents stating that their 8 month old German shepherd puppy had pounced on their infant and 'tossed him about like a toy'. CT scan of brain is normal. Parents refuse admission for observation. Metro interviews family, checks out their apartment. Dog is present and details of story check out.
Child is discharged home with parents.
Child presents two months later in full cardio-pulmonary arrest. 3 Duhaime et al. 4 Sugar et al. Only 1 in 511 'precruisers' had facial bruises. Patient has had cough for a week, but SOB was of very sudden onset.