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Published on Aug 22, 2013
Any rhythm that is grossly irregular and you cannot find P waves an accurate guess would be atrial fibrillation. A good way to tell the difference between atrial flutter and atrial fibrillation is that if you were asked to count the atrial rate it would be possible in atrial flutter because there are discernible flutter waves. It would not be possible to count an atrial rate in atrial fibrillation.
See more in our Arrhythmia Interpretation section of our Online Advanced Cardiac Life Support course at https://www.acls.net