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    Potential use of amiodarone to treat new-onset AF in the pre-hospital setting

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    Author
    Brown, Philip
    Keyword
    Emergency Medical Services
    Amiodarone
    Pre-hospital
    Stroke
    Atrial Fibrillation
    Journal title
    Journal of Paramedic Practice
    
    Metadata
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    URI
    http://hdl.handle.net/20.500.12417/499
    DOI
    10.12968/jpar.2014.6.8.408
    Abstract
    Abstract published with permission. Incidence of atrial fibrillation (AF) is high, it is the most prevalent arrhythmia in the UK, Europe and the USA (Naccarelli et al, 2009; Davis et al, 2012; Dagres et al, 2013) and is associated with significant morbidity, high risk of stroke and mortality (Cottrell, 2012). Clinical guidance from the National Collaborating Centre for Chronic Conditions (NCCCC) (2006) and the National Institute for Health and Care Excellence (NICE) (2006) supports clinicians working in primary and hospital-based emergency care, but not those working in pre-hospital care. Updated guidance from NICE (2014) highlights the importance of providing rapid, personalised, evidence-based care, yet does not provide any guidance for pre-hospital clinicians responding to emergency presentations of AF. Paramedics have knowledge and experience of identifying AF, possess antiarrhythmic, anticoagulant and anti-platelet medications as part of their formulary and possess the necessary skills for obtaining intravenous access. This article reviews the national guidance and available best-evidence to provide safe treatment to patients presenting with new-onset AF and considers areas that merit further research.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2014.6.8.408
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