NurseBomar

For those of you lucky enough to have a few years of ER/ICU before burning out...try flight nursing. There is no greater joy than the autonomy derived from practicing at 1800 ft. Thanks for all the suggestions throughout the thread...I've been looking for something to do on my days off.

I just transported an 83y/o lady w/ this....it was a first for me too. They initially called it 2nd deg HB, but it didn't really fit. There was a normal beat (PRi=.24), followed by another with the same PRi, but starting almost on top of the T wave. The couplet was followed by a P wave and dropped QRS. The dropped QRS i suppose is the compensatory pause ...just the atria forgot to pause:).