It's just before midnight when your pager goes off for a structure fire. You and your partner scramble down from the bunkhouse and to your truck. The engine company is already rolling out the door as you check enroute.
Upon arrival, you see a small home, heavy smoke and flames showing. The radio crackles as the engine company establishes command and announces a working structure fire. Automatic mutual aide is dispatched as well.
You stage your ambulance out of the path of incoming fire apparatus and check in with command to set up rehab.
As crews are rotated off attack lines, they check into the rehab sector. Their air bottles are topped off while they get their vitals taken, rest, and rehydrate.
Your partner waves you over to a young firefighter, who appears pale and diaphoretic, who she says has a "really fast pulse."
- Pulse: 190, regular at the radials
- BP: 118/54
- Resps: 24, unlabored
- SpO2: 90% r/a
- SpCO: 4%
He denies any complaints as you put him onto the monitor.
He says he, "feels fine" but that he, "may be a little tired."
- Allergies: none
- Medications: none
- PMHx: none
- Last ins/outs: normal dinner, "some energy drinks"
- Events: on air for ~20 minutes
Your partner grabs a towel to dry him off for a 12-Lead. While you're placing the leads he asks when he can, "get back on a line."
After 15 minutes in rehab he's had 8 ounces of water and 12 ounces of a sports drink. Your parter grabs a second set of vitals:
- Pulse: 160, regular at the radials; 180 when standing
- BP: 112/74
- Resps: 20, unlabored
- SpO2: 94% r/a
- SpCO: 0%
What is your interpretation of his initial rhythm and his 12-Lead ECG?
Are there any significant findings on the 12-Lead ECG?
His Lieutenant walks over to you in the rehab area and asks, "well Doc, can he be released yet?"