Rhythm control was selected in 42-85% of patients across hospitals and electricity was chosen as the primary strategy for rhythm control in 7-69%. Ian Stiell and colleagues published an article in 2011 in Annals of EMВ looking at variation in recent-onset atrial fibrillation management in Canada and found a lot of variability. The SGEM bottom line was that the best available evidence shows that diltiazem will achieve more rapid rate control in patients with atrial fibrillation than metoprolol (NNT 2).Дr. metoprolol in the management of atrial fibrillation or flutter with rapid ventricular rate in the emergency department ( J Emerg Med 2015). SGEM#133 reviewed a study by Fromm C et al. In patients with chronic atrial fibrillation or unknown time of onset and a rapid ventricular response, rate control and consideration and initiation of anticoagulation therapy are the standard emergency department approach.Д«oth beta-blockers and calcium channel blockers are commonly used for rate control in the emergency department. The debate has been going on for years as to which is the best strategy to address these patients, rateВ or rhythmВ control. Pepsi.ДЄtrial fibrillation is one of the most common dysrhythmias and patients often present to the emergency department with increased heart rates, chest pain and weakness among other presentations. RingerвЂ™s lactate for fluid resuscitation, steroids vs. This is a debate that has gone on for many years. As the conversation progresses, you wonder whether it might be safe to discharge some atrial fibrillation patients home for outpatient follow-up.Д«ackground:В Atrial fibrillation, rate control vs. Usually they just shock me and send me home.вЂќВ Local practice is usually to treat rapid atrial fibrillation with a calcium channel blocker infusion and admit to hospital. вЂњIвЂ™ve had atrial fibrillation a number of time before. He is the creator of the excellent #FOAMed project called В and an amazing photographer.Д¬ase: A 62-year-old Canadian is on vacation in up-state Michigan, and after a celebratory evening, presents to your emergency department with palpitations. Guest Skeptic: Dr.В Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation.

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