Samantha is a 3-year-old female who presents after being found face down in the family pool. She was last seen 20-minutes prior to being found in the pool. On arrival to the emergency department, she has a weak cry and is only intermittently responsive to tactile stimuli. She was intubated for airway protection and an orogastric tube was placed with return of a large volume of clear water. She was admitted to the pediatric intensive care unit for further management.