RT Journal Article SR Electronic T1 Fatal butane toxicity and delayed onset of refractory ventricular fibrillation JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1250 OP 1254 DO 10.15537/smj.2017.12.20811 VO 38 IS 12 A1 Almulhim, Khalid N. YR 2017 UL http://smj.org.sa/content/38/12/1250.abstract AB A 30-year-old male was presented to the Emergency Department (ED) by the Emergency Medical Services (EMS). He was found unconscious but breathing normally, and had a seizure for more than 30 minutes. He was no previous history of systemic disease, previous operation, medication and any known allergy. According to the witnesses, he was alone in the coffee shop, and besides him was a lighter refill canister containing 250 ml extra purified butane gas, and he suddenly collapsed and had seizure. Six hours later, he developed ventricular fibrillation and he was not responding to amiodarone infusion, and 4 times defibrillation and cardioversion. He died after 45 minutes of resuscitation.