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Modern ED Management of Acute Atrial Fibrillation

Key considerations

The lecture duration is 22min.

0.5 CPD Points, 0.5 CEUs, 0.5 CME credits approval pending.
Accredited by CPDUK, CBRN and Provider Pending.

You can watch this lecture for free! For premium features, including a CPD/CME accredited certificate, to use time-coded note taking or get downloadable slides, you will need a fair price subscription.

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Prof. Ian Stiell
Senior Scientist, Ottawa Hospital Research Institute, University of Ottawa and Distinguished Professor, Ottawa, Canada
Lecture Summary

This presentation discusses the modern management of acute atrial fibrillation in the emergency department. Using the Canadian approach and guidelines, we strongly encourage cardioversion in the ED by drug or electric shock, followed by early discharge home. Usually there is no need to consult cardiology or anesthesia in the ED and no need to admit these patients as the vast majority can be quickly and safely returned to normal sinus rhythm. We review the optimal approach to assessment, rate control, rhythm control, stroke prevention, and disposition.

Target Audience

Emergency Medicine Doctors
Emergency Medicine Nurses
Paramedics
Rural GP's

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Understand when cardioversion is safe
  • How to optimize the use of pharmacological and electrical cardioversion
  • learn the role of oral anticoagulants at time of discharge

None.