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11 - Reference Harrison, van den Hoek and Graham 13 We created an Advisory Committee consisting of ten academic emergency physicians (one also expert in thrombosis medicine), four community emergency physicians, three cardiologists, one PhD methodologist, and two patients. Reference Gillis and Skanes 9, Reference Guyatt, Oxman and Vist 10 With the assistance of our PhD methodologist (IG), we used the recently developed Canadian CAN-IMPLEMENT © process adapted from the ADAPTE Collaboration. Reference Stiell and Macle 6 - Reference Macle, Cairns and Leblanc 8 These CPGs were developed and revised using a rigorous process that is based on the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system of evaluation. We chose to adapt, for use by emergency physicians, existing high-quality clinical practice guidelines (CPG) previously developed by the Canadian Cardiovascular Society (CCS). This project was funded by a research grant from the Canadian Arrhythmia Network and the resultant guidelines have been formally recommended by the Canadian Association of Emergency Physicians (CAEP). Reference Scheuermeyer, Innes and Pourvali 3 - Reference Stiell, Clement and Rowe 5 Reference Connors and Dorian 1, Reference Michael, Stiell, Agarwal and Mandavia 2 Canadian emergency physicians are known for publishing widely on this topic and for managing these patients quickly and efficiently in the ED.

These are the most common acute arrhythmia cases requiring care in the ED. those with recent-onset episodes (either first detected, recurrent paroxysmal or recurrent persistent episodes) where the onset is generally less than 48 hours but may be as much as seven days. The checklist focuses on symptomatic patients with acute atrial fibrillation (AAF) or flutter (AAFL), i.e. The CAEP Acute Atrial Fibrillation/Flutter Best Practices Checklist was created to assist emergency physicians in Canada and elsewhere manage patients who present to the emergency department (ED) with acute/recent-onset atrial fibrillation or flutter. For a French translation of this position statement, please see the Supplementary Material at DOI: 10.107/cem.2018.26