Final answer:
The 88-year-old female's syncope was most likely caused by an acute cardiac dysrhythmia.
Step-by-step explanation:
The syncope experienced by the patient is most likely caused by an acute cardiac dysrhythmia.
Based on the symptoms of dizziness, generalized weakness, and an irregular and rapid pulse rate of 170 beats/min, it is indicative of a cardiac issue. An acute cardiac dysrhythmia refers to an abnormal heart rhythm that can result in a sudden loss of consciousness (syncope).
It is important for the EMT to recognize this life-threatening condition promptly and initiate appropriate treatment measures such as cardiology consultation and potentially cardiopulmonary resuscitation (CPR) if necessary.