Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Atrial Fibrillation Guideline Check-In
Despite differences across AF guidelines, ED management converges on three principles: initiate DOACs when stroke risk warrants, cardiovert fewer patients but with more attention to duration and risk, and ensure early referral for rhythm-control discussion in newly diagnosed AF. The ED role is less about choosing the “right” guideline and more about safe initiation, thoughtful restraint, and reliable follow-up.