Cardioverting Another Medic or Nurse

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"Ma'am I have a 1030 or 1200 appt available for you to schedule your cardioversion a week from Thursday. You need to come in about 30 minutes early to fill out some paperwork. The procedure will take about 10 minutes, tops."
 
I have no opnion on trolls or whatnot. But cardioversions can be elective, and even scheduled.

In some cases, such as an afib of prolonged, or unknown duration, a patient will be started on warfarin, and the cardioversion performed after a period of anticoagulation.
 
I'm aware of those cases. I also suspect that if the doc is going to wait until the patient is anticoagulated they will try chemical cardioverson. Not necessarily with adenosine, but one of the meds people normally take for a-fib.

As in "here is some coumadin, metoprolol and cardizem, take these and see me again in a week".
 
KellyBracket said:
I have no opnion on trolls or whatnot. But cardioversions can be elective, and even scheduled.

In some cases, such as an afib of prolonged, or unknown duration, a patient will be started on warfarin, and the cardioversion performed after a period of anticoagulation.
Click to expand...

For example:


"Before proceeding to cardioversion in the absence of systemic anticoagulation, physicians must be confident that the duration of AF/AFL is clearly <48 hours and that the patient is not at a particularly high risk of stroke. When the duration of AF/AFL is >48 hours or uncertain, rate control should be optimized first and the patients should receive therapeutic anticoagulation for 3 weeks before and 4 weeks after planned cardioversion. Adequate follow-up of patients with recent-onset AF/AFL is recommended to identify structural heart disease and evaluate the need for long-term antithrombotic or antiarrhythmic therapy."


Stiell IG, Macle L; CCS Atrial Fibrillation Guidelines Committee. Canadian Cardiovascular Society atrial fibrillation guidelines 2010: management of recent-onset atrial fibrillation and flutter in the emergency department. Can J Cardiol. 2011 Jan-Feb;27(1):38-46.
 
Aidey said:
The OPs first thread makes it sound like she was scheduled to be cardioverted sometime in the future. How many electrical cardioversions are pre-planned days in advance? My guess is a number somewhere near zero.
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KellyBracket said:
I have no opnion on trolls or whatnot. But cardioversions can be elective, and even scheduled.

In some cases, such as an afib of prolonged, or unknown duration, a patient will be started on warfarin, and the cardioversion performed after a period of anticoagulation.
Click to expand...

I'm gonna side with Dr. Bracket here... not just because he's a doc of EPIC proportions, because he always knew how much Bicarb to tell Johnny and Roy to push... but because I've done clinical time with the EPS lab folks.

EPS labs do MANY, MANY elective cardiversions.
 
Redacted.
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Sleeper troll?
 
Why would a medical professional sexualize a procedure as she did unless it was to get a rise out of someone?
 
I still believe she is of the trolling variety.
 
troll gone, dead thread

let's shut it down.
 
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