As many readers noted, there is a lot of baseline wander. This is not the most helpful of 12-Leads. On scene the crew attempted multiple 12-Leads, however, the patient would not sit still and that was the best one.
I think a close look at the Initial 12-Lead has enough information to make a field diagnosis.
Also, I've done a brief review of atrioventricular blocks to help with identification of the rhythm in this case study!"It is just after 3am when you are called to intercept a BLS unit on scene with a 54 year old female with a low heart rate.
Upon your arrival, you find two EMT-Basics attending to a small woman lying in bed, who appears acutely ill..."
