By. Associated Press and Daily Mail Reporter. PUBLISHED:. 15:58 EST, 4 April 2013. |. UPDATED:. 16:00 EST, 4 April 2013. The recording of a 911 call reveals a mother sounding frantic and crying as she tries to revive her dying 3-year-old adopted Russian son while paramedics race to her rural West Texas home. In the January 21 tape released Thursday, Laura Shatto tells a 911 operator that Max Shatto isn't breathing. Later she is heard pleading for help as she desperately performs CPR on the boy. Ector County District Attorney Bobby Bland said Max likely suffered the fatal internal injuries to an artery in during 10 minutes that Laura Shatto was in the bathroom. Four pathologists reviewed the autopsy report and ruled Max's death to be accidental. Scroll own to listen to 911 call. Autopsy: The medical examiner ruled that the death of Max Shatto was an accident and an autopsy revealed he had 30 bruises on his body when he died. Accused: Kremlin accused Laura Shatto, right, of beating little Max, left, to death in January. On the call, Shatto says she's not. sure what happened, that she left Max playing outside while she went to. use the bathroom in her home near Odessa. She later told the operator her son was autistic, self-injurious and on medication. The woman begins to weep as she. unsuccessfully tries to revive him. The male dispatcher on the call. guides her through CPR, instructing her to do 15 compressions and blow. air into the boy's lungs in an effort to restart his heart and get him. to breathe. 'OK, Laura, you're doing fine,' he. keeps telling the increasingly hysterical mother as she tries to. reanimate the little boy while awaiting for EMS personnel to arrive. Panting with effort from doing. compressions, the woman says a few minutes into the call that Max's. pupils are fixed and dilated and later notes that his 'belly is. distending.’ ‘I think I found a heartbeat!’ She. exclaims about 16 minutes into the conversation, but she then tells the. dispatcher that it's really faint and that she cannot feel Max’s carotid pulse. ‘You’re doing a wonderful job Laura, nobody could do any better,’ the dispatcher tells her as he tries to keep her calm. The woman tells the operator that her. adoptive son is. 'starting to smell like he’s pooping himself.’ Throughout the conversation, the operator reminds Shatto to check that the boy's airways are clear and check for the pulse. While on the call with the 911. operator, Max's younger half-brother, who was also adopted by the Shattos from Russia, could be heard crying hysterically and shrieking. in the background. Several times Mrs  Shatto says, 'Mama's not hurting him,, mama's trying to help.' As time goes on Laura Shatto asks, 'Where are they?' referring to EMS. personnel, and pleads through apparent sobs to the operator, 'Please, I. need help.' The calls ends at the 22-minute mark as the paramedics arrive and take over CPR, with Mrs Shatto bawling in the background. Officials released the tape of the. call clocking in at just over 20 minutes at the request of the Odessa. American newspaper after grand jurors decided not to indict Laura Shatto. and her husband Alan in their son's death. Tragedy: Max Shatto, 3, died in January after being adopted by a family in Texas. An Ector County grand jury has declined to indict the parents, Alan and Laura Shatto, who also adopted his half brother, Kristopher. Parents: The boy's adoptive parents denied knowing about the allegations being made by Russian authorities. No arrests have been made. Russian born: Maxim was born the town of Pskov, near Russia's western border with Estonia. The boy lived with a family in Gardendale, Texas with his family before his death. Last week, an autopsy report. revealed the the three-year-old boy had more than 30 bruises and other. marks on his body as well as signs that he was routinely injured by. accident. Russian officials have expressed disbelief at the decision not to charge the Shattos. They blame the Shattos for the boy's death, which has become the latest flashpoint in a debate over American adoptions of Russian children. The autopsy report released to the Odessa American. suggests that the Shattos were struggling to care for Max due to his. behavioral problems and his tendency to hurt himself. The Shattos have. declined to comment publicly about the boy's death. The boy, born Maxim Kuzmin, died Jan. 21 after Laura Shatto found him unresponsive outside their home in Gardendale, Texas. A medical examiner's investigator. wrote in the report that she found abrasions, scrapes and bruises from. head to toe on Max's body. Alan Shatto told authorities that the boy hit. his head against items in the home and had serious behavioral problems. He said a doctor had prescribed the. anti-psychotic drug Risperidone, but the couple stopped giving Max the. drug after about four days after reading about the side effects and. because it appeared the boy was having trouble swallowing. Laura Shatto. reported that three days before his death, Max nearly choked on a cooked. carrot. She said he tended to bang his head. and claw himself, which she tried to prevent by cutting his nails short. and having him wear gloves at night. Russian authorities have blamed Max's. parents for his death and used the incident to justify a ban on all. American adoptions. Bobby Bland, the Ector County district attorney, has. said four pathologists reviewed an autopsy report and ruled Max's death. to be accidental. 'The injuries on the child were not. consistent with abuse,' Bland said this month. 'They were, instead,. consistent with the previously diagnosed behavioral disorder.' He said Max likely suffered the fatal. injuries during 10 minutes when he was playing outside and Laura Shatto. was in the bathroom. Laura Shatto told authorities that on. the day of his death, Max 'began throwing a fit' when his parents tried. to take him to the bathroom in the morning, according to the report. He. eventually went back to bed and wasn't woken up until 3 p.m., Laura. Shatto told authorities. Outrage: Demonstrators hold portraits of adopted Russian children who have died in the U.S., during a massive rally in Moscow. Protests: This woman holds a sign that reads 'Juvenile judiciary. Give us parents back!' Demonstrators walked along Moscow streets to support the new law prohibiting the adoption of Russian children by Americans. Rally: Activists from pro-Kremlin children's advocacy groups march through Moscow, demanding the return of an adopted boy whose brother, Max Shatto, died in Texas. Keeping mum: The driveway to the Shatto family home, rear left, is seen in Gardendale, Texas, with a sign that reads: 'No Comment' He and his half brother watched TV. for some time before their mother took them outside to play on the. family's swing set, the report says. Max was quiet and swaying from side. to side when Laura Shatto went inside the house to use the bathroom,. she told authorities. When she returned, she found Max on the ground. near the swings, unresponsive. The boy was pronounced dead shortly afterward at an area hospital. Russian authorities and state media. have used his death to fan opposition to American adoptions. Americans. have adopted an estimated 60,000 Russian children over the last two. decades, at least 20 of whom have died. Sad: The little boy, pictured right, was pronounced dead in hospital on Jan. 21. The lack of charges against the. Shatto family 'raises serious questions,' Konstantin Dolgov, a Foreign. Ministry official, told a state-controlled television channel last week. 'It turns out that the child died and his adoptive parents are in no. way guilty of this. Moreover, they are trying to persuade us that the. boy's lethal injuries were inflicted by himself.' The family's attorney, Michael J. Brown, told the newspaper that while he hadn't seen the autopsy report,. he knew both Alan and Laura Shatto were doing the best they could. 'They just sort of handled it as it. came along,' Brown said, adding that 'they were not forewarned that they. had this thing they were dealing with.' Plea: In a tightly choreographed interview, Max's biological mother, 23-year-old Yulia Kuzmina, tearfully appealed to President Putin to have her surviving son returned to her. Accusations: Pavel Astakho has alleged that Maxim was beaten to death by his American mother. American authorities have not confirmed the allegations are still investigating. Look of love: Alan Shatto embraces his son, Maxim, in this photo. Max's parents wrote in his obituary, 'When we get to Heaven, we know we will hear your sweet voice singing with the angels. We love you and will always miss you' Timing: Max's death comes weeks after Russian authorities announced it was banning all adoptions by Americans.
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January 21 tape was released after grand jury decided not to indict Laura and Alan Shatto in the death of their 3-year-old son Maxim. Ector County Medical Examiner's office ruled that the boy's death was accidental. Max died after being adopted by a family in Texas. Russian authorities alleged he was abused by his adoptive mother and given psychiatric drugs. Texas officials believe the bruises found on his body were self-inflicted. Latest in ongoing battle between two counties over adoptions and death comes weeks after Russians banned all adoptions to Americans. American authorities investigating claims but no arrests have been made.