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Wild Rhythm

firedoc5

By firedoc5
in Patient Care

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firedoc5 Newbie

firedoc5

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We responded to a full arrest one morning. Did all the usual ACLS protocols. Initial quick look showed a rhythm but not clear. No pulse. PEA (or old school EMD). Finally placed leads. Got a better look at the rhythm. It was actually showing a 2nd degree block mobits one (winkebach), still no pulse. Never seen or heard of that, and neither did the ER staff. Sent a strip and the doc on the radio confirmed it. Followed protocol for PEA. During transport went into fine v-fib. Defib x3. No conversion. If it wasn't for sending a strip and documenting on paper no one would have believed us.

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