[Sdiver]

Initially, we were calling it a Junctional Tachycardia.

We placed him on 10L O2 NRB and loaded him in our truck. Took another set of vitals, which were virtually unchanged.

Rate 110, BP 122/74, Resp 20

Ran another set of strips.

1st pic: Per 10L O2
2nd pic: O2 10L NRB
3rd pic: O2 10L NRB
4th pic: full strip


We transported Pt to Hsp, which was across the street from clinic, transport time less than 5 minutes.

When we got to the ED, we had 3 Docs with us listening to our report and looking at our strips. One called it A-fib, another called it a 2nd degree block, and the 3rd called it a 3rd degree block.

After the call, my partner and I got a break and pulled out these strips and "Hemmed" and "Haughed" about we we had. There was a lot of, "There's no P-wave" and "The P-wave is buried in the T-wave" and "There's the P-wave" and "What the Hell is that????" (some guy was passing by our truck in nothing more than shorts and a t-shirt)

After awhile, we decided that it's a 2nd degree Type II Block "Mobitz".

I'd just like to see what anyone else here can determine that this might be.