This case was sent me https://instagram.com/eddineahmad?igshid=s6bpq12meuo5

4 mo girl, 1 week post open heart for VSD closure, presenting with 3 days history of fever and decreased PO intake.
On presentation she was found to be febrile 38.8°c with HR 130 and O2 sat. 77% and cyanotic.
Patient decompesated shortly after presenting, going inti cardio respiratory

... cardio respiratory arrest.
She was intubated then transferred later after being stabilized to PICU.
Preliminary diagnosis: aspiration pneumonia.