Tachycardia — EMS

The quiz
57-year-old patient who is two days post op from gastric bypass surgery. He has called the ambulance because he has abdominal pain and is dizzy when he stands. You arrive to find a conscious, alert and oriented patient with slightly pale and diaphoretic skin. He appears to be in distress as he is leaning forward holding his abdomen. He says his pain has been increasing over the past 24 hours. His breathing is not labored. His pulse is strong and regular at a rate of 126. His pulse ox is 96% on room air and his BP is 94/68. You place him on a cardiac monitor that reveals a narrow complex tachycardia.

about 3–5 minutes