This article discusses the experience of emergency nursing in a paroxysmal supraventricular tachycardia with shock symptoms awareness cases. The case must not only face the physical threat caused by the disease but also must overcome and receive bidirectional wave synchronous rectification shock treatment in a short time. The fear caused the author to want to help the case survive the crisis of physical and psychological care problems.The main period of care was March 12, 2018. The author used Gordon 11 Health Patterns for evaluation and collected data through direct care, physical examination, observation, interviews, and medical records. Established cases have nursing problems of "decreased cardiac output", "fear" and "pain".During the nursing process, the consultation second specialist doctor gave advice, and used mobile devices to assist patients to strengthen disease awareness, and used emergency professional knowledge " Advanced Cardiac Life Support" to assist physicians to perform two-way wave synchronous rectification shock to maintain cardiac output; Provide individual nursing measures, provide religious support, provide spiritual support to alleviate fear, and reduce the pain by diverting attention and listening. In the final case, overcome the fear, accept the synchronous rectification shock, and successfully assist the case to survive the crisis and stabilize her life. Emergency medical staff need to be highly sensitive to identify changes in heart rhythm, use professional knowledge to provide appropriate nursing measures, provide good care and holistic care, so it is recommended to optimize the information system to assist medical teams to fully implement the advanced first aid procedure related to advanced cardiac lifesaving Patient safety and quality of high-quality care; It is expected that this emergency nursing experience can provide a reference for clinical care of nursing colleagues.