Paramedics are called to the home of a 3-year old male child because the child is noted to be poorly responsive. Upon arrival 11 minutes after the 911 called was received, the child is being carried by an adult outside the home toward the ambulance.
Paramedics note the child to have agonal respirations.
His EKG rhythm shows a bradycardia with multifocal PVC's. He is mask ventilated, then intubated at the scene. His rhythm improves to a sinus tachycardia. He is noted to have fixed and dilated pupils at the scene with a Glascow coma score of 3. He is transported to a rural emergency department.