Electrocardiograms (EKGs) are rapid, non-invasive tests that provide invaluable insight into the pathologic processes plaguing our patients. We present a case of a two-year-old child found to have ingested cocaine whose EKG mimicked that of Brugada Syndrome. However, given the differences, we propose that the reason for this pattern was more likely a sodium channel toxicity secondary to the sodium channel blocking effects of cocaine, resulting in a brugada phenotype rather than a brugada genotype.TopicsBrugada, brugada phenotype, sodium channel blocker.