23yo M was playing the "Let's hold our breath and see who can last the longest" during a pool party on St. Patrick's Day. After 3.5 minutes his friends checked on him. Cyanotic, pulseless, apneic. Friends initiated bystander CPR and called EMS. EMS found him in PEA, initiated CPR, intubated without meds in the field. Couldn't hear breath sounds (probably waterlogged) so decided to pull the tube thinking they were in the Goose, but the guy starts breathing and has ROSC. Minutes later he is in my ED Resuscitation bay and is thanking everyone for helping save his life, no evident neurologic deficit. Hypoxic to the mid-80's and hypercapneic, started on BIPAP and given ABX for Aspiration PNA. Amazingly, even though it was on St Patrick's Day, ETOH and UDS ALL NEG!?! Admitted to ICU and now 3 days later is about to be discharged from the hospital.
Anyone ever had a patient who held their breath until they coded???
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