A 70-year-old male presents to urgent care with confusion. On exam, the patient is tachypneic and is, indeed, confused but is able to follow commands.

View the initial ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Figure 1. Initial ECG.
(Case presented by Benjamin Cooper, MD, MEd, FACEP, Department of Emergency Medicine, McGovern Medical School at UTHealth Houston.)
A 70-Year-Old Male Who Presents in a Confused State
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