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Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. The patient reported consuming plant needles obtained online in a suicide attempt several hours prior. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg. She was transported to the emergency department, and the following ECG was obtained (Figure 1).
This article was published in Annals of Emergency Medicine, 82, Brandenberger L, Williams Silva K, Macheret F, et al., Woman with syncopal episode and seizure-like activity, 216-218, © 2023 by the American College of Emergency Physicians.”
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