Answer:
For example, when A sees B drowning and fails to save him, A may be drinking, singing, whistling, or dancing while not saving B, but this is still classified as omission in the legal context (requiring a duty to act in order to convict) since these actions are not related to the result.
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I would say wakes up as the phrase "come to" can mean waking up and "start" means beginning. So the phrase can mean starting to wake up, that's just my guess though.