Initial management of cardiac arrhythmias.

Abstract

Background: Diagnosis of acute arrhythmias requires recognition and interpretation of important electrocardiogram (ECG) findings, and knowledge of Australian resuscitation guidelines. Objective: This article aims to provide a guide for general practitioners in managing patients who present with acute arrhythmias in the rural or regional setting. Discussion: Rural GPs need to be familiar with acute management of bradycardias, supraventricular tachycardia, atrial fibrillation and ventricular tachyarrhythmias, despite the fact that they may deal with these problems infrequently. A good local or regional network will help determine which patients can be treated locally, versus the need to refer to a hospital emergency department or outpatient setting. This might include a colleague reviewing an ECG sent by fax or email. Coronary care and emergency staff, both medical and nursing, have the expertise to participate collaboratively in such a network.