It was 11:45 PM. I was called some one had been chesty and vomiting.

I arrived at 11.50 PM. At first glace, I thought she was lying on her left side and sleeping. But when I tried to wake her up, no response at all. The nurse was around.

I asked her if she is for resus. Answer was yes. The crush team arrived by mid night.

I ran through the note. 78f admitted with symptomatic anaemia, still under investigation. Past medical history shows hypothyroid and hypertenstion only.

Blood 2 units was given previously. No previously episodes of vomiting.

Only on that night, she was not well with chesty and vomiting.

We commenced CPR. It was PEA. ECG monitor showed VT. We followed Resus guide lines while establishing IV access and taking blood gas, U&E, FBC. BM was 7.

After 6 minutes, rhythm changed to VF which was shokable. After 3x shocks, rehythm changed to VT again.

We considered reversible causes 4H and 4T.

We beleive that the cause was Aspiration.

We stopped CPR at about half past 12.

R.I.P