Table 3.

Progression of clinical and electrophysiological events in Case 3.

Time	EEG	EKG	Respiration	Clinical
17:30:02	Baseline. Intermittent left temporal theta slowing.	75bpm	Coughs every 2–3 seconds	Patient sitting in bed. Has coughing attack lasting until 17:32:30
17:32:30	Baseline	85bpm	25 brpm	Mumbling. Appears agitated as if struggling to breath.
17:32:42	Diffuse mixed delta-theta slowing	75bpm	30 breaths per min. Fast and shallow, prominent movement of sternocleidomastoids	Appears agitated, struggles weakly to breathe
17:33:41	Marked generalized EEG suppression ( abrupt onset)	60bpm	25 breaths per min. shallow breathing, prominent movement of sternocleidomastoids	Immobile
17:34:15	Marked generalized EEG suppression	55bpm	15 breaths per min. shallow breathing	Immobile
17:34:22	EEG picks up in amplitude into generalized delta slowing	55bpm	15 breaths per min. shallow breathing	Immobile, moaning heard with breaths
17:34:29	Mixture of marked generalized EEG suppression and generalized delta slowing	60bpm	30 breaths per min. gradually decreases to 15 breaths per min.	Immobile, moaning heard with breaths. Nurse enters, assumes patient is seizing. Administers O2.
17:35:21	Marked generalized EEG suppression	55 bpm	15–20 breaths per min., shallow breathing	Immobile, unresponsive
17:36:40	EEG picks up in amplitude into generalized delta slowing	65–70 bpm	25 breaths per min., shallow breathing	Patient suddenly becomes agitated, moaning and moving arms. Two right facial twitches seen.
17:37:30	Marked generalized EEG suppression	70–85 bpm	25–30 breath per minute, shallow breathing	Immobile, unresponsive despite suction and O2. Ativan 2mg at 17:38:20.
17:41:30	Marked generalized EEG suppression	Slows to 20 bpm	Breathing appears to stop	Immobile, unresponsive
17:44:50	Marked generalized EEG suppression	20bpm	Respiratory arrest	CPR started