This case involves a thirty-four-year-old male patient, with a significant medical history of mental issues, including paranoid schizophrenia. He was brought to the ER by the police after a delusional episode and was treated with a number of psychotropic medications. A psychiatry consult was not called and the ER staff decided to manage the patient’s mental instability without assistance. The patient was in the ER for approximately five hours and suffered cardiac arrest due to an apparent reaction to the sedatives prescribed to him. The patient was successfully resuscitated and transferred to an ICU unit, and he spent three weeks recovering from congestive heart failure. Additionally, the patient contracted pneumonia and sepsis during his hospital stay which complicated his recovery. As a result of the cardiac arrest and severe complications of the respiratory infection, the man is not able to walk under his own power.