Thank-you for your reply Michael, since composing this message mere hours 
after the call, I have had a chance to talk to the emergency physicians, 
although as no post-mortem was yet completed, they could only attempt to 
offer reasons for the death.  I will definately be following up further.
 > the case you describe does not fit the "typical" SIDS profile
 > where a child
 > is found apenic  in bed by the parents after a night of
 > sleeping.  The
No, I can understand that now.  Several comments were made after the arrest 
was called, such as "Well, this was probably a SIDS that you guys got to 
before the end result."  While I'm sure this was meant to be comforting, I 
see now that this is not a typical SIDS.
 > abnormal glucose and elevated WBC may indicate that the child
 > was septic.
And that would fit with the degenerating cardiac rythms despite PALS care?
 > Also the possiblity of a congenital defect must be
 > considered.  This defect may not have been yet diagnosed.
Hmm, another possibility.  I am looking very forward to the results in this 
case.
 > I can think of no other obvious treatments or methods that
 > would have been
 > available to you in the care of this child.
Thanks. I realize that now. It was still frustrating not to be able to do 
anything else for the baby.  So many times we arrive to treat patients in 
arrest 7, 10, 20 minutes after the fact, so when ALS is present at the time 
of arrest, I guess I had hoped for a better result.  However, as you said, I 
realize we had done all we could do, and it was not meant to be.
> Contact the ER and see if any
 > cause of death was every discovered.  If not, a call to the
 > Medical Examiner may help you discover the cause.
Yes, that is exactly what I am doing. Apparantly there will be a CIS 
debreifing for the entire care-giving team involved with this baby, and I 
will definately be attending that as well.  Perhaps this would be routine in 
some extremely high call-volume areas, but it is the first time I have dealt 
with this in my 5 years of part-time work.
Thank you very much for your caring reply Michael.
Andrew Burke, EMA
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