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A 33-year-old patient presented as an emergency with agitation and central chest tightness. She was diaphoretic and admitted to ingesting 14 g of loosely wrapped cocaine.
Shortly after presentation, she had a generalised tonic–clonic seizure followed by pulseless ventricular tachycardia. Sinus rhythm was restored with a 150-J biphasic DC shock. Post-arrest, she was hypotensive (BP 80/40 mm Hg) …