6 doctors weighed in:
What is the intervention for atrial fibrillation of paramedics?
6 doctors weighed in

Sean Baskin
Emergency Medicine
3 doctors agree
In brief: Meds, Cardioversion
Treatment depends on the patient's presentation.
For someone with rapid atrial fibrillation who has a stable blood pressure the treatment is often IV medications used to slow the heart rate. The first drug is usually IV diltiazem/cardizem or a beta blocker. For patients with rapid a-fib and low blood pressure, immediate cardioversion may be needed.

In brief: Meds, Cardioversion
Treatment depends on the patient's presentation.
For someone with rapid atrial fibrillation who has a stable blood pressure the treatment is often IV medications used to slow the heart rate. The first drug is usually IV diltiazem/cardizem or a beta blocker. For patients with rapid a-fib and low blood pressure, immediate cardioversion may be needed.
Sean Baskin
Sean Baskin
Answer assisted by Sean Baskin, Medical Student
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Dr. Alon Gitig
Internal Medicine - Cardiology
2 doctors agree
In brief: Medications vs shock
If atrial fibrillation is seen, and heart rate is very rapid, medications are first given by ems which usually slow it down.
If, however, the heart rate doesn't respond to medications, or the person is critically ill and the blood pressure is extremely low, they need emergent cardioversion (electrical shock) to restart the heart into normal rhythm.

In brief: Medications vs shock
If atrial fibrillation is seen, and heart rate is very rapid, medications are first given by ems which usually slow it down.
If, however, the heart rate doesn't respond to medications, or the person is critically ill and the blood pressure is extremely low, they need emergent cardioversion (electrical shock) to restart the heart into normal rhythm.
Dr. Alon Gitig
Dr. Alon Gitig
Thank
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