Rapid discharge for new onset atrial fib/flutter

In this large cohort of 660 patients presenting with new onset fib/flutter, patients were managed with the Ottowa Aggressive Protocol, which utilized IV procainamide, then electrical cardioversion if necessary, then discharge home. In this cohort, 97% of patients were discharged home from the ED (93% of which were in sinus rhythm). The median length of stay in the ED was 5 hours, and the 7 day relapse rate was 9%. This protocol appears to be safe and effective in obviating the need for admission of most patients with new onset afib/flutter (abstract)

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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