I had the honor of nearly being drowned by Michael Edwin Thornton
Seriously though, some of the worst ER codes I’ve worked as an RRT have been pediatric drowning / near drowning victims. Once a rhythm returns and they’re stuck on the vent, lung compliance drops to nil which equates to pneumo city due to surfactant washout - have the needle decompression kit handy or someone readily available who’s efficient with placing chest tubes.
So far we’ve been lucky this summer - fingers crossed…