Episode 57 – Atrial Fibrillation : An Approach To Diagnosis And Management In The Emergency Department

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

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Episode 57 – Atrial Fibrillation : An Approach To Diagnosis And Management In The Emergency Department

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EMplify – May 2021

Announcements:

1. The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: https://clinicaldecisionmaking.com
2. Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this summer !!

Atrial Fibrillation : An Approach To Diagnosis And Management In The Emergency Department – An Interview with Dr Brian Millman

Epidemiology

Causes

Prehospital treatment – careful with causes of the A Fib.

ED Evaluation

• History – beware the causes
• Physical
• ECG
• Labs
• Imaging
• Echocardiography

Treatment

Rate control

• Calcium channel blockers
• Beta blockers
• Esmolol
• Magnesium

Rhythm control

• Amiodarone
• Procainamide
• Cardioversion

Watch and Wait

Anticoagulation

Disoposition

Last Updated on January 25, 2023

Sam Ashoo, MD

Sam Ashoo, MD, FACEP,  is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…