“…1 A recent US qualitative study of emergency physicians identified a similar list of prescribing barriers with 1 addition: the need for ED-specific AFF guidelines. 2 The rationale is that with certain acute conditions, such as AFF, both the ED patient population and the disease-management questions differ from those encountered by outpatient providers sufficiently to warrant ED-focused guidance. This would require the involvement of emergency physicians on the writing committees, as done by the Canadian Cardiovascular Society for their ED-management algorithm for AFF.…”