That was an interesting call. 70 year old male throwing up x 1 day due to heavy drinking (he assumed). It came in as a BLS call. Vitals are pretty normal 130/76, pulse 68 strong/regular, 16 resperations Cl/Bl, skin signs normal, normal, warm. A&Ox4 No complaints of pain except the stomach due to throwing up. Past history of seizures (last one was 26 years ago). No allergies currently not taking any medications.
Get him to the ER and the nurse hooks him up to the monitor (the normal monitor that goes on every patient) and bam the guy is in SVT at a rate of 233. The patient is still A&Ox4 and no signs or symptoms. Patients pulse is still at a rate of 68 palpated but 231 on the monitor. Nurses try getting an IV in the right and left AC, can't get it. They go for an EJ, still can't get it. Finally they go for a femoral line and get it. 2 hours later the patients heart rate is down but still high at 154.