You're working a QRV on a busy weekend, when you get dispatched for a "man down". No transport units are initially available, but a BLS crew from a neighboring town are on their way.
Upon your arrival an officer on scene directs you inside to a man he says, "looks like he had a seizure".
Your patient, a 52 year old male, is seated on the ground with a family member holding a cold washrag to his forehead. He is responsive to verbal stimulus, but isn't making any sense.
His wife introduces herself and fills you in on the story. Apparently, they were watching TV when he suddenly went unresponsive and began, "shaking all over". She also says that he has never had a seizure before and usually is never sick. When you ask about alcohol or drug usage she becomes evasive.
You introduce yourself to the patient and feel for a pulse at the radial. His skin is hot and moist and his radial feels quite fast. He's slowly coming around and smells of cigarrette smoke.
- Pulse: 180 bpm
- BP: 112/64
- RR: 26
- SpO2: 92% r/a
- Lungs: clear and equal bilaterally
- Temp: 99.9 F tympanic
- BGL: 188 mg/dL
The wife states the patient takes something for his cholesterol and hypertension. You attach your monitor and see a narrow complex rhythm at 180 bpm.
The patient is now answering questions appropriately, but with some hesitation. He denies that he's had seizures before and denies taking any drugs.
The BLS crew arrives as you acquire the following 12-Lead:
- What is the patient's rhythm?
- Is the patient's condition related to the rhythm?
- What is your course of treatment?