Recognize Lethal ECG Rhythms

Credit

Handouts/Brochure

Speaker

Robin Gilbert, MSN, RN, CEN, CPEN Related seminars and products

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Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years’ experience in emergency nursing. She is both a certified emergency nurse and certified pediatric emergency nurse. Robin has experience as an emergency department manager, manager of cardiac & pulmonary rehabilitation and currently as the regional manager for staff development at Central Main Medical Center. She instructs the NCLEX review class for Kaplan and tutors nursing students online for a local college of nursing. Her experience also includes having been an item writer for the Board Certification of Emergency Nursing and a former chairperson. In her current role, Robin is able to remain up to date in the trends and best practice standards for care in emergency nursing. Robin received her BSN from Curry College, Massachusetts and her MSN from Saint Joseph’s College, Maine. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, and is a reviewer for the ANCC’s Pathway to Excellence.

 

Speaker Disclosures:
Financial: Robin Gilbert has employment relationships with EBSCO, Rumford Hospital, Pathway to Excellence, and Kaplan University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Robin Gilbert is a member of the Emergency Nurses Association.

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Objectives

1. Determine how pathological events can explain abnormalities on a 12 lead ECG.
2. Practice an advanced step by step process to interpret ECG abnormalities.
3. Evaluate the intricate placement of chest leads and limb leads.
4. Apply criteria to distinguish heart blocks.
5. Devise a treatment plan based on the type of arrhythmia.
6. Analyze actual rhythm strips and 12 lead ECG’s.

Outline

Cardiovascular: A & P Basics

• Cardiac conduction system
• Conduction system and waveforms

Tips and Strategies

• 12-Lead vs. 15-Lead - and why
• Explaining limb leads and precordial leads
• Contiguous leads
• 5 step process for interpreting ECG’s
• Assessment tips

Axis Deviation

• Why, how, and significance
• Quick approach for determining axis

Blocks

• 1st, 2nd, 3rd Degree 
• Bundle branch blocks in a nutshell
• Causes and complications

STEMI, NON-STEMI, Unstable Angina

• Initial presentation
• ECG’s changes
• Interventions

How Common Are These?

• Brugada syndrome
• Wolf-Parkinson-White
• Long QT syndrome

Confidence in ACLS Emergencies

• Treatment for wide vs. narrow complex tachycardias
• Cardiac pacing
• Asystole/PEA
• VT/VF

What Critical Concern is Behind the Disguise?

• Pericarditis
• Myocarditis
• Heart Failure
• Tako Subo
• COPD
• Electrolytes
• Pulmonary Embolism
• Ventricular Hypertrophy
• Subdural Hemorrhage
• Aortic Aneurysm

Upcoming Attractions

• Assist devices
• ECPR
• REBOA

Let’s Wrap It Up

• ECG and Rhythm Strip Practice
• Case presentations

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Nurse Educators
• Physician Assistants