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	<title>Metoprolol Use In A-Fib with RVR - Revision history</title>
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	<updated>2026-07-25T21:24:29Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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		<id>https://scemsprotocols.com/scems/index.php?title=Metoprolol_Use_In_A-Fib_with_RVR&amp;diff=1963&amp;oldid=prev</id>
		<title>Jonesk: Created page with &quot;&#039;&#039;&#039;TO&#039;&#039;&#039;:     EMS Personnel&lt;br&gt;&#039;&#039;&#039;FROM&#039;&#039;&#039;:   Dr Todd Husty&lt;br&gt;&#039;&#039;&#039;DATE&#039;&#039;&#039;:   July 22, 2026&lt;br&gt;&#039;&#039;&#039;RE&#039;&#039;&#039;:  Metoprolol use in A-Fib with RVR  The Office of the Medical Director is implementing a new Metoprolol treatment parameter for patients with Atrial Fibrillation accompanied by Rapid Ventricular Response (RVR).  This update is straightforward and is not intended to complicate patient care.  Please take the time to read the new parameter carefully and ensure you understan...&quot;</title>
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		<updated>2026-07-22T19:30:35Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;&amp;#039;&amp;#039;&amp;#039;TO&amp;#039;&amp;#039;&amp;#039;:     EMS Personnel&amp;lt;br&amp;gt;&amp;#039;&amp;#039;&amp;#039;FROM&amp;#039;&amp;#039;&amp;#039;:   Dr Todd Husty&amp;lt;br&amp;gt;&amp;#039;&amp;#039;&amp;#039;DATE&amp;#039;&amp;#039;&amp;#039;:   July 22, 2026&amp;lt;br&amp;gt;&amp;#039;&amp;#039;&amp;#039;RE&amp;#039;&amp;#039;&amp;#039;:  Metoprolol use in A-Fib with RVR  The Office of the Medical Director is implementing a new Metoprolol treatment parameter for patients with Atrial Fibrillation accompanied by Rapid Ventricular Response (RVR).  This update is straightforward and is not intended to complicate patient care.  Please take the time to read the new parameter carefully and ensure you understan...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;TO&amp;#039;&amp;#039;&amp;#039;:     EMS Personnel&amp;lt;br&amp;gt;&amp;#039;&amp;#039;&amp;#039;FROM&amp;#039;&amp;#039;&amp;#039;:   Dr Todd Husty&amp;lt;br&amp;gt;&amp;#039;&amp;#039;&amp;#039;DATE&amp;#039;&amp;#039;&amp;#039;:   July 22, 2026&amp;lt;br&amp;gt;&amp;#039;&amp;#039;&amp;#039;RE&amp;#039;&amp;#039;&amp;#039;:  Metoprolol use in A-Fib with RVR&lt;br /&gt;
&lt;br /&gt;
The Office of the Medical Director is implementing a new Metoprolol treatment parameter for patients with Atrial Fibrillation accompanied by Rapid Ventricular Response (RVR).&lt;br /&gt;
&lt;br /&gt;
This update is straightforward and is not intended to complicate patient care.  Please take the time to read the new parameter carefully and ensure you understand its indications and application.&lt;br /&gt;
&lt;br /&gt;
This treatment approach has been recommended by our hospital emergency department partners as the preferred management strategy for appropriate unstable patients.  It is important to emphasize that this protocol is not intended for patients who simply have an elevated heart rate.  Clinical Judgement and adherence to the specified inclusion criteria remain essential.&lt;br /&gt;
&lt;br /&gt;
Thank you for your attention to the update and for your continued commitment to providing safe, evidence-based patient care.&lt;br /&gt;
&lt;br /&gt;
Respectfully,&lt;br /&gt;
&lt;br /&gt;
Todd M. Husty, DO&amp;lt;br&amp;gt;Medical Director&lt;br /&gt;
[[File:Metoprolol Memo.png|center|thumb]]&lt;/div&gt;</summary>
		<author><name>Jonesk</name></author>
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