Clinical Application of Intravenous Lipid Emulsion Therapy in Cocaine-associated Cardiac Arrest: A Case Report.
Clinical practice and cases in emergency medicine · 2026-08-01 · Case report
Abstract
INTRODUCTION: Cardiac arrest in the setting of cocaine use portends high morbidity and mortality secondary to its powerful sodium channel blockade effects. Intravenous (IV) lipid emulsion has long been used as a rescue therapy in lipophilic toxicities. CASE REPORT: We report a case in which IV lipid emulsion was used to successfully stabilize a patient who suffered cocaine-associated, out-of-hospital cardiac arrest. CONCLUSION: Intravenous lipid emulsion was used in the successful resuscitation of a cocaine overdose and could be considered for use in patients with cocaine-associated cardiac arrest.