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Figure 1. Initial EGC
Case presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine.

The family of a 42-year-old male brings the patient to urgent care for altered mental status believing that they had arrived at an emergency department. His family found him on the floor at home with a non-functioning heater on a very cold day. He is bradycardic and ill-appearing. An ECG is obtained.

42-Year-Old With Altered Mental Status
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