Carey

Carey: I believe your thorough experience with potassium and afib needs to be disseminated. My suggestion would be either a single case report of your experience or probably, easier and perhaps better, a letter to the editor in one of the medical journals. As you probably know, the letters are not usually peer reviewed and are more readily accepted. I would suggest the NEJM (go for the gold) for the letter or perhaps one of the emergency medicine journals or perhaps the J of Clinical Cardiology. My thought is that some enthusiastic Resident or Post grad Fellow will hone in and pursue a larger group to study and the issue will gain acceptance. There is nothing an ER  doc would love is to see than an afib patient role in  and  be able to start an IV with D10W and 80 mEq KCl (after appropriate renal function tests show normal kidney function) and discharge the patient "cured"  after several hours. They need something in the literature to back that approach up. It could be called the Carey method or something like that. Do it. Good luck. And I appreciate your posts