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

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 April 29, 2022

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