ECG Challenge: The path 'more' traveled
EMS is called to a hardware store for a 59-year-old male with palpitations
By Tom Bouthillet
Here's an interesting case submitted by Adam Thompson from Paramedicine 101. Some changes have been made to preserve patient confidentiality. EMS is called to a hardware store for a 59-year-old male with palpitations.
On arrival the patient is found sitting in a chair in the storeroom. He appears anxious. Skin is pink, warm and moist. He states that this has "happened before" but it's "been a while."
The patient is a poor historian. He states that he's seen a doctor for palpitations before and they "wanted to some kind of procedure but I said forget it!"
Pulse: Extremely rapid and irregular
SpO2: Does not register
The patient denies chest pain or shortness of breath.
Breath sounds are clear bilaterally.
The cardiac monitor is applied.
How would you treat this patient and why?