EMS is called to the residence of a 77 year old male complaining of palpitations.
Upon arrival, paramedics find the patient lying in bed. He is awake but lethargic. He is oriented to person, place, and time.
The patient’s skin is cool, pale, and diaphoretic.
He admits to chest discomfort and mild shortness of breath. Breath sounds are clear bilaterally.
Past medical history is significant for HTN and CABGx3 (a year and a half ago).
Vital signs are assessed.
RR: 22 and shallow
Pulse: Too rapid to count
SpO2: Does not register
The cardiac monitor is attached.
How would you treat this patient?
*** UPDATE ***
The patient was transported to the emergency department where he immediately received synchronized cardioversion.