EMS called to a local Doctors office for a 71 year old male patient who came in for a routing check-up. During the exam the staff could not locate a radial pulse. They laid the patient supine and started a 20g IV running at W/O rate. On arrival EMS found patient was Conscious, alert and oriented to person, place, time and event. He had no complaint other then feeling a little light headed. He stated that he has been light headed off and on for the past year. Skin w/d PERRL and lungs clear equal bilateral. He denies any pain and says he has no shortness of breath with a SP02 of 88% room air.
IV was cut to KVO rate and pt was moved to EMS stretcher and secured in the back of the unit. 12 lead EKG was obtained and transmitted to the receiving ER.
EKG diagnosed as SVT
After administering 12 mg of Adenosine the Ventricle rate slowed enough to show Atrial Flutter