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A 24-year-old obese man collapsed after a night out. No basic life support was performed, but paramedics arrived at T = 2 min. The patient’s first recorded rhythm was ventricular fibrillation (VF). He was intubated and arrived at our emergency department in refractory VF at T = 34 min. We proceeded with extracorporeal cardiopulmonary resuscitation. Femoral vein dilatation was hard and extracorporeal

Cocaine/amphetamine-induced accelerated atherosclerosis, coronary spasm and thrombosis, and refractory ventricular fibrillation