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Treatment of cocaine overdose with lipid emulsion

We describe the management and recovery of a 28‐year‐old man following a history of overdose by nasal inhalation of cocaine. The patient was presented in a comatose state suffering from seizures and marked cardiovascularly instability. Intravenous lipid emulsion was administered following initial resuscitation and tracheal intubation, as a means of treating persistent cardiac arrhythmias and profound hypotension. Following lipid emulsion therapy, the patient’s life‐threatening cardiovascular parameters rapidly improved and he recovered well without any side effects, thus being discharged within 2 days.