A 52-year-old male with a history of diabetes, heart attacks requiring stents, and end-stage

renal disease on hemodialysis presented with sudden-onset seizure and loss of consciousness.
He underwent prolonged resuscitation with CPR, defibrillation, and epinephrine, achieving
return of spontaneous circulation. Diagnoses included fatal arrhythmia, hyperkalemia
(resolved), hypoxic ischemic encephalopathy, community-acquired pneumonia, and ESRD
secondary to diabetes.

Intensive care management included mechanical ventilation, hemodialysis, nasogastric

feeding, and tracheostomy. He initially had a poor Glasgow Coma Scale score (5), but
gradually improved to 8 over several days. Vital signs remained within acceptable ranges.
This case highlights the complex interplay between chronic comorbidities, acute infections,
and neurological emergencies in critically ill patients requiring multi-faceted interventions.