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Paramedic #1: I’ll call it wandering atrial pacemaker with variable conduction and a bundle branch block.
EMS Command: Nah it’s a Mobitz type II below the AV junction with occasional PAC’s encased in a left ventricle that’s OBVIOUSLY hypterophied.
ED Physician: No way. It’s an AV dissociation with a tattering of atrial escape beats.
Cardiologist: Fuhgetaboutit! It’s a 2:1 Wenckebach with a few abberantly conducted PJC’s for flavor.
EMT-B: I call it pulseless and apneic!!
Leave it to the basic to worry about whats important.
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