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This one is pretty straightforward, but wait a second; Isn't there another rhythm that looks a bit like this? Let's go through our methodical process to make sure we pick the right one:
Is it a tachycardia or a bradycardia?
Yes. The rate is above 100bpm so it's a tachycardia. That's all we can say at this stage. You can't identify any of these just by looking at the rate.
Can we see p waves?
No. There may be p waves present but we definitely can't see them. All we can say is that this is a narrow complex rhythm. When the QRS is narrow, it has originated above the ventricle, which is why this rhythm is also called Supra Ventricular Tachycardia.
Are the QRS's wide or chaotic?
No, so this isn't one of the ventricular rhythms
Is it shockable?
No, only the two ventricular rhythms are shockable