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Starting anticoagulation for atrial fibrillation in the emergency department safely
Atrial fibrillation (AF) is a common morbidity, which is increasing in prevalence.1 AF predisposes patients to stroke while anticoagulation therapy reduces the stroke risk in this population. The proportion of patients with AF receiving oral anticoagulation is one of the pan-Canadian quality indicators set by the Canadian Cardiovascular Society.2 Our review of local ED practice identified that only 17% of patients with AF eligible for anticoagulation were being prescribed an anticoagulant.3 We implemented a simple ED pathway for initiating anticoagulation in patients with AF in four EDs. The pathway was available for emerg...
Source: Emergency Medicine Journal - October 21, 2022 Category: Emergency Medicine Authors: Kirwan, C., Ramsden, S., Carter, J., Tong, X. C., Huang, J., Clayton, N., McArthur, R., Kibria, A., de Wit, K. Tags: Research letter Source Type: research

Validity and risk factor analysis for helicopter emergency medical services in Japan: a pilot study
Some emergency departments use triage scales, such as the Canadian Triage and Acuity Scale and Japan Urgent Stroke Triage Score, to detect life-threatening situations. However, these protocols have not been us...
Source: BMC Emergency Medicine - July 22, 2021 Category: Emergency Medicine Authors: Noriaki Yamada, Yuichiro Kitagawa, Takahiro Yoshida, Sho Nachi, Hideshi Okada and Shinji Ogura Tags: Research article Source Type: research

Executive Summary 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
The International Liaison Committee on Resuscitation (ILCOR) was formed in 1992 as an international council of councils and currently includes representatives from the American Heart Association (AHA), the European Resuscitation Council, the Heart and Stroke Foundation of Canada, the Australian and New Zealand Committee on Resuscitation, the Resuscitation Council of Southern Africa, the InterAmerican Heart Foundation, and the Resuscitation Council of Asia.1 The ILCOR mission is to promote, disseminate, and advocate international implementation of evidence-informed resuscitation and first aid by using transparent evaluation...
Source: Resuscitation - October 21, 2020 Category: Emergency Medicine Authors: Jerry P. Nolan, Ian Maconochie, Jasmeet Soar, Theresa M. Olasveengen, Robert Greif, Myra H. Wyckoff, Eunice M. Singletary, Richard Aickin, Katherine M. Berg, Mary E. Mancini, Farhan Bhanji, Jonathan Wyllie, David Zideman, Robert W. Neumar, Gavin D. Perkin Source Type: research

A Multicenter Randomized Trial to Evaluate a Chemical-first or Electrical-first Cardioversion Strategy for Patients With Uncomplicated Acute Atrial Fibrillation.
CONCLUSION: In uncomplicated ED AF patients managed with rhythm control, chemical-first and electrical-first strategies both appear to be successful and well tolerated; however, an electrical-first strategy results in a significantly shorter ED LOS. PMID: 31423687 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - August 18, 2019 Category: Emergency Medicine Authors: Scheuermeyer FX, Andolfatto G, Christenson J, Villa-Roel C, Rowe B Tags: Acad Emerg Med Source Type: research

Stroke Education in Canadian Emergency Medicine Residency Programs
Research ArticlesDevin R. Harris, Philip Teal, Matthew Turton, Brian Lahiffe, Simon Pulfrey,Canadian Journal of Emergency Medicine,Volume 18 Issue 04, pp 283-287Abstract
Source: Canadian Journal of Emergency Medicine - March 22, 2019 Category: Emergency Medicine Source Type: research

The Canadian Community Utilization of Stroke Prevention Study in Atrial Fibrillation in the Emergency Department (C-CUSP ED)
ConclusionAn oral anticoagulation prescription tool was associated with an increase in new oral anticoagulation prescription in the ED, irrespective of whether an atrial fibrillation clinic follow-up was scheduled. The use of an atrial fibrillation clinic was associated with a trend to a higher rate of oral anticoagulation at 6-month follow-up.
Source: Annals of Emergency Medicine - October 27, 2018 Category: Emergency Medicine Source Type: research

Creation and Implementation of an Outpatient Pathway for Atrial Fibrillation in the Emergency Department Setting: Results of an Expert Panel.
This article is protected by copyright. All rights reserved. PMID: 29524340 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - March 10, 2018 Category: Emergency Medicine Authors: Baugh CW, Clark CL, Wilson JW, Stiell IG, Kocheril AG, Luck KK, Myers TD, Pollack CV, Roumpf SK, Tomassoni GF, Williams JM, Patel BB, Wu F, Pines JM Tags: Acad Emerg Med Source Type: research

Creation and Implementation of an Outpatient Pathway for Atrial Fibrillation in the Emergency Department Setting: Results of an Expert Panel
This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - March 1, 2018 Category: Emergency Medicine Authors: Christopher W. Baugh, Carol L. Clark, Jason W. Wilson, Ian G. Stiell, Abraham G. Kocheril, Krista K. Luck, Troy D. Myers, Charles V. Pollack, Steven K. Roumpf, Gery F. Tomassoni, James M. Williams, Brian B. Patel, Fred Wu, Jesse M. Pines Tags: Special Contribution Source Type: research