All patients who presented to the emergency department as a result of cocaine intoxication during a 1 yr period were reviewed retrospectively. 137 cases were reviewed. Patients presented with a wide variety of chief complaints including altered mental status (40), chest pain (21), syncope (19), suicide attempt (13), palpitations (12) & seizures (12) as well as numerous other complaints. There was only 1 death. Few patients required treatment within the ED; 16 required hospitalization.