A-Fib Unleashed!

Curbside consult with electrophysiologist Randy Jones MD about the fine points of atrial fibrillation managment.

-Proper pad placement.

-The difference between a-fib and a-flutter.

-How much energy to use.

-What to do when that nice sinus rhythm after cardioversion turns back into a-fib.

-What’s the deal with mixing calcium channel and beta blockers?

-The best agents for acute rate control.

-Do we need to worry about ventricular dysrhythmias after cardioversion?

-IV Procainamide for emergency department cardioversion of a-fib

Here is the Audio


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3 Responses to A-Fib Unleashed!

  1. Lomberg says:

    Hey Rob,

    this podcast You asked for feedback, and now you´ll get some. I am a German medical 5th yera actually working in something like an ED, even though EM in Germany ist so for not a speciality for its own, unfortunately. By chance I found the stuff You and the guys of LITFL, EMRAP and the rest do, and I am very impressed how You use the Web 2.0 media. I definitely think that this way of peer review, the close connections of You guys to each other will improve knowledge in EM by far more than only using the tradiitional approach like writing papers an that stuff. Thanx for doing that for free. I tried to start a podcast with EM-related themes in German, unfortunaly the response is poor, partly probably because currently there is a difficult way to go for EM to become a speciality here, because of huge resistence of the big bosses in IM, Surgery and Anaesthesiology, hope that´ll end up soon.
    Please go on guys, You´re doing a great job.

    Lars

  2. Karim says:

    Love the podcast! Thanks for taking the time to put these out, and please keep them coming.

  3. Joe Howton says:

    Very helpful podcast, Rob. Thanks!
    You mention that you have to wait 6 hours for an empty stomach prior to procedural sedation. I could be wrong, but my impression has been that has been shown to be unnecessary. Perhaps this would be a useful topic for discussion/debate.

    Any chance you will do a podcast on end tidal CO2? Both for procedural sedation, and for it’s many other uses? I’ve tried to use it in my ED for codes, sedation, etc and am stymied by the RN staff every time. We have the equipment, but none of the staff seem to be familiar with how to use it. I believe it’s an invaluable adjunct that we are missing out on.

    Cheers,
    Joe H.
    Portland, Oregon

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