Sudden Collapse on a Telemetry Unit

You are leading a rapid response on a telemetry unit. A 48-year-old woman is being monitored after an episode of unexplained near-syncope. When you arrive, she is alert and reports intermittent palpitations.

Her pulse is 92/min, blood pressure is 118/74 mm Hg, respiratory rate is 18/min, and oxygen saturation is 97% on room air.

A nurse, respiratory therapist, functioning peripheral IV, emergency medications, and a monitor/defibrillator are immediately available.