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The Ottawa AF cardioversion protocol. Step 1: 200 J shock delivered using self-adhesive electrodes in an anteroposterior configuration. Step 2: 200 J shock delivered using self-adhesive electrodes in an anterolateral configuration while applying pressure over the electrodes with disconnected standard handheld paddles. Step 3: 360 J shock delivered using the same technique as in Step 2. Step 4: as per the treating physician’s discretion. AF, atrial fibrillation.
