Atrial flutter | ACLS-Algorithms.com

Comments

  1. Dzina Rozava says

    I have a question. In the event of a stable, but persistent A-fib/A-flutter, we have time to do TEE to rule out clots and start an anticoagulation therapy, before cardioversion or even potential ablation. However if patient decompensates before TEE is obtained, we can’t use cardioversion, will amiodarone or other medication be appropriate at this point? What are the options in that case? Or our focus of treatment changes towards declotting protocols? Thank you.

    • ACLS says

      Amiodarone or other medication’s like Calcium channel blocker’s and beta blockers could be potential appropriate medication’s in the situation is.

      Fortunately, atrial fibrillation and atrial flutter rarely in and of themselves lead to decompensation that could result in cardiac arrest.

      Kind regards,
      Jeff

  2. Derek Longoria says

    As a paramedic… if I came across stable atrial flutter in the field would there be any interventions that I would do? The closest thing I think I can get to is considering calcium channel blockers but if the pt is stable… should I just wait until I get the pt to the hospital?

    • ACLS says

      In the situation where you were dealing with stable atrial flutter, the best thing to do would be to wait until you get to the hospital so that a more thorough evaluation and consultation may be performed.

      The main thing you’re looking at here would be the stable condition. When a patient is stable, you have time to allow more experienced providers to perform an evaluation prior to interventions.

      Kind regards,
      Jeff

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