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Contemporary Diagnosis and Management of Atrial Fibrillation: A Review of the 2023 ACC/AHA Clinical Practice Guidelines
Atrial fibrillation is the most common dysrhythmia encountered in the emergency department. In patients aged >65 years, the incidence approaches 10%, and the number of patients with atrial fibrillation is expected to almost double in the next 30 years.
Learning Objectives :
- Define stages of atrial fibrillation (AF).
- Recognize AF risk factor modification and prevention.
- Recognize the flexibility in using clinical risk scores and expanding beyond CHA2DS2-VASc for prediction of stroke and systemic embolism.
- Understand early rhythm control.
- Understand that left atrial appendage occlusion devices receive higher level Class of Recommendation.
Fred Rawlins, II, DO
A graduate of A. T. Still University of Health Sciences Kirksville College of Osteopathic Medicine - Kirksville MO, Dr. Rawlins completed an Emergency Medicine residency at St. Luke’s in Bethlehem, PA. He is the Senior Associate Dean of Simulation and Educational Technology and Associate Professor of Emergency Medicine at the Edward Via College of Osteopathic Medicine (VCOM) – Virginia, Carolinas, Auburn and University of Monroe Louisiana. He is also an attending physician in the Department of Emergency Medicine at West Virginia University Hospitals Parkersburg Campus and has been in practice for over 20 years as an emergency physician. Dr. Rawlins has been actively involved in the world of simulation throughout his professional career, beginning with simulation as a tool for aircraft system piloting and instrumentation. He has been able to continue his education in aviation and further establish himself as a pilot, as well as apply these principals of simulation to medical education. In the medical field, he has worked closely with other departments at VCOM to enhance the 1st and 2nd year curriculum by presenting cases to medical students that allow them to bring forth their medical knowledge in a hands-on, controlled, learning environment using simulation. Expanding this opportunity to other organizations has developed standardized patient and manikin-based simulation scenarios unique for their training certifications. The result has allowed VCOM to become a partner with Laerdal Medical by becoming a SimDeveloper for Laerdal’s SimStore. This partnership has made VCOM’s simulated product become available to other medical schools and organizations worldwide.
Dr. Rawlins has no disclosures
