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| Home - Webinars - Foundations of 12 Lead ECG Interpretation CEU |
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Foundations of 12 Lead ECG Interpretation |
Live CEU Webinar Classes Presented
8/12/10 – 9/16/10
(Recorded presentations also available to registered webinar participants through
course expiration date 9/30/10) |
| Registration Available Through Course Expiration Date
10/4/10 |
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9 Content Hours* |
$79/$49 |
*10.5 Contact Hours available if you opt in for the
free, 1.5 prerequiste course.
See below for details. |
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Course Description:
Cardiac care clinicians are
required to know the bare essentials in
reading an electrocardiogram (ECG).
Commonly, the preparation is a short course
on arrhythmias (and those courses often
teach arrhythmia recognition from lead II
only). Consequently, in practice, more is
expected and necessary for competent patient
care. This 6 part course, with a free 1.5
contact hour optional, prerequisite class,
will give the clinician a basic
understanding of the fundamentals of 12-lead
ECG interpretation of arrhythmias. It is
designed for nurses, therapists, or exercise
physiologists working in cardiac
rehabilitation, telemetry units, emergency
departments, intensive care units, or
anywhere cardiac ECG monitoring of the adult
patient is required. Because it is essential
that the participant has a thorough
understanding of anatomy and physiology of
the heart’s conduction system, a free
pre-requisite class is offered.
Who Should Be Interested:
Nurses, therapists, or exercise
physiologists working in cardiac
rehabilitation, telemetry units, emergency
departments, intensive care units, or
anywhere cardiac ECG monitoring of the adult
patient is required.
Presenters:
Patricia Lounsbury, Rn, BC, BSN, MEd, CCRN,
FAACVPR
Class Times:
12:00pm Central Time (1:00pm Eastern; 11:00am Mountain; 10:00am Pacific)
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Free 1.5 CE Prerequisite Class (Optional) – Cardiac Anatomy, Physiology and Electrophysiology
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| You will be offered the opportunity to opt in
for this free course while enrolling for the 12 Lead
webinar series. Once we add this course to your
account you will receive an email confirmation of
your enrollment and will have 2 weeks to complete
the prerequisite (pre-recorded) course. |
Class Description
The first step in reading an ECG is understanding how the ECG is generated and what it represents in the heart. While you have studied much of this in your basic health care education, this class will reiterate what you have already learned, adding to it and stressing additional factors that relate to the ECG. This is the foundation for everything that follows in this six-hour course.
Topics:
I. Gross cardiac anatomy
A. Atria
B. Ventricles
C. Vessels
D. Normal circulation through the heart
E. Coronary arteries
II. Conduction system
III. Electrophysiology terms
IV. Components of the electrocardiogram
A. P wave
B. PR interval
C. QRS complex
D. ST segment
E. T wave
F. U wave
IV. ECG paper, measurements, settings, voltage
V. Determining rate on the ECG
VI. Rules for interpreting cardiac rhythms
A. Rate
B. Rhythm
C. P waves
D. PR interval
E. QRS complex
Behavioral/Learning Objectives:
- State the sequence of circulation through
the heart and the supply of blood to the heart
through the coronary arteries.
- List structures of the conduction system,
explain the sequence of normal cardiac
activation, and describe the resultant wave
forms produced on the ECG.
- Describe the electrophysiologic terms
depolarization, repolarization, refractory
period, and conduction.
- Describe time and voltage values on the ECG
and compute heart rate and rhythm.
- Explain the derivation of the P-wave, QRS
complex, PR interval, PR segment, ST segment,
T-wave, and U-wave and define the normal
durations and amplitudes of each.
- Explain the QRS descriptors.
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#1 - 8/12/10 – Fundamentals: Leads, Axis, Principles of Monitoring, What’s Normal
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Class Description
To determine what’s
abnormal in a 12-lead ECG, it is imperative to know
what is normal and be able to make that
determination quickly. Determining the QRS axis on
the frontal plane, if the T wave and ST segments are
directed normally, and thoroughly understanding
leads and how to manipulate them are skills
fundamental to rapid 12-lead ECG interpretation.
Often not taught in arrhythmia interpretation
courses, this information is basic and necessary to
understand the remaining sessions in this series.
Topics:
I. Leads of the frontal plane
A. Standard, bipolar limb leads
B. Unipolar limb leads
C. Determination of axis
II. Leads of the horizontal plane
A. Two important leads for monitoring (V1 and V5)
B. Bipolar substitutes for V-leads
III. Lead choices for various populations
IV. Rules for monitoring
A. One lead is not enough!
B. Choose lead based on patient, not policy!
Behavioral/Learning Objectives:
- Recognize a normal 12-lead ECG.
- Explain how the P wave, QRS complex, and T
wave should look in all 12 leads.
- Determine the electrical axis of the ECG in
seconds.
- Describe the normal precordial pattern and
how it is derived.
- Explain how bipolar substitutes for the V
leads are derived, e.g., MCL1, MCL5, CM5, etc.,
and when they are indicated. Note: This course
does not cover EASI electrode placement.
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#2 - 8/19/10 - The Sinus Rhythms |
Class Description
The sinus
rhythms differ from other anatomic classifications,
such as atrial, junctional, and ventricular
arrhythmias, mainly because not all are pathologic.
Some are known as physiologic rhythms or variations
of normal sinus rhythm and are found in healthy
people. While it is important to recognize the
variations, it is equally important to remember that
these rhythms are not necessarily prognostically
significant.Topics:
I.Normal sinus rhythm
A. ECG characteristics
B. Normal rates for various ages
II. Sinus arrhythmia
A. ECG characteristics
B. Types
1. Respiratory
2. Nonrespiratory
C. Implications of its presence
III. Sinus tachycardia
A. ECG characteristics
B. Etiology and treatment
IV. Sinus bradycardia
A. ECG characteristics
B. Etiology and treatment
V. Sino-atrial blocks
A. ECG characteristics
1. Type 1 second degree SA block
2. Type 2 second degree SA block
B. Differential diagnosis
VI. Sick sinus syndrome
A. ECG characteristics
B. Some treatment options
Behavioral/Learning Objectives:
- Describe the features of normal sinus rhythm
(NSR) for adults and children.
- Identify the differences of physiologic from
pathologic arrhythmias and identify ECG examples
and characteristics of each.
- Identify sinus tachycardia, explain factors
to consider in determining clinical
significance, and list ten etiologic factors
associated with it.
- Describe sinus bradycardia and compare and
contrast its mechanism with sinus tachycardia.
- Identify SA blocks and describe recognition
on the ECG, differentiating from sinus
bradycardia.
- Describe “sick sinus syndrome” and common
treatment for it.
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#3 - 8/26/10 - Atrial Rhythm Disturbances and Suprventricular Tachycardias |
Class Description
The atrial
arrhythmias and supraventricular tachycardias are
rhythm disturbances that will be encountered often
in electrocardiograms of all age groups. It is
essential that the clinician is able to quickly
differentiate supraventricular rhythms from
ventricular, diagnose atrial arrhythmias, and be
able to distinguish significant atrial rhythm
disturbances from normal variations.Topics:
I. Atrial premature beat/contraction (APB or APC or PAC)
A. Types
1. Typical
2. Nonconducted
3. Morphology of P wave
4. P’R interval of the APB
B. Significance
C. ECG characteristics
II. Supraventricular tachycardias
A. Multiform atrial tachycardia
B. Paroxysmal supraventricular tachycardia
C. Atrial tachycardia
D. Atrial flutter
E. Atrial fibrillation
III. Wandering pacemaker
IV. Atrial escape rhythm
Behavioral/Learning Objectives:
- Explain the clinical significance of each of
the atrial arrhythmias and specify which may be
found in healthy people and which may be
indicative of disease.
- Describe ECG features of atrial premature
beats or contractions (APBs/APCs) and explain
the various ways they may be displayed on the
ECG.
- Define paroxysmal supraventricular
tachycardia (PSVT), describe possible associated
findings, and list two etiologies.
- Define atrial tachycardia with and without
block and differentiate it from other atrial
tachycardias, such as PSVT, atrial flutter, etc.
- Identify and explain the ECG features of
atrial flutter, listing three leads that tend to
exhibit flutter waves clearly, and anticipate
the ventricular rate in both adult and pediatric
patients prior to treatment.
- Identify atrial fibrillation, describe its
hemodynamic effects, risk of thrombus formation,
and treatment.
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#4 - 9/2/10 – AV Junctional Rhythm Disturbances |
Class Description
The
atrioventricular (AV) junction includes the AV node
and the bundle of His. The junctional tissue
contains cells capable of automaticity. The junction
is also capable of slowing and blocking impulses
from traveling from the atria to the ventricles.
This class will discuss the junctional arrhythmias.Topics:
I. Junctional premature beats
A. ECG characteristics
B. Comparison of APBs and JPBs
II. Junctional tachycardia
A. ECG characteristics
B. Treatment options
III. Junctional escape beats and idiojunctional rhythm
A. ECG characteristics
B. Implications
Behavioral/Learning Objectives:
- Describe which leads are most helpful in
assessing junctional arrhythmias, differentiate
junctional from atrial arrhythmias and discuss
retrograde atrial depolarization.
- Identify premature junctional contractions
(PJCs) and differentiate from APCs.
- Describe junctional tachycardia and explain
how it is different from atrial tachycardias.
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#5 - 9/9/10 - AV Blocks
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Class Description
Since the AV
junction contains both the AV node and bundle of
His, there are several types of blocks that can
occur as a result of slowed or ceased conduction
through any of its parts. This section will teach
you all of the common AV blocks and help you
identify each.Topics:
I. AV blocks
II. First degree AV block
III. Second degree AV block
A. Type I (Wenckebach)
B. Type II
IV. Third degree AV block
V. ECG characteristics of each of the AV blocks
Behavioral/Learning Objectives:
- Identify first, second (both type I and type
II), and third degree AV blocks.
- Define second degree AV block.
- Define types I and II second degree AV
block.
- Differentiate between types I and II second
degree AV block.
- Discuss AV dissociation.
- Define the Wenckebach phenomenon and
describe two of its ECG manifestations.
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#6 - 9/16/10 - Ventricular Rhythm Disturbances |
Class Description
The
ventricular arrhythmias are the most important of
the cardiac rhythm disturbances because the
ventricles are responsible for pumping blood to the
body. If faulty ventricular depolarization results
in little or no ventricular pumping, the result may
be lethal. Yet, as will be seen in this class,
ventricular arrhythmias are ubiquitous and may be
benign or malignant. The trick is distinguishing
lethal or potentially lethal from benign ventricular
arrhythmias.Topics:
I. Ventricular premature beat or contraction (VPB or VPC or PVC)
A. ECG characteristics
B. Incidence and implications
II. Ventricular tachycardia (VT)
A. ECG characteristics
B. Incidence and implications
III. Ventricular fibrillation
A. ECG characteristics
B. Treatment
IV. Accelerated idioventricular rhythm
A. ECG characteristics
B. Implications
V. Idioventricular rhythm
A. ECG characteristics
B. Implications
Behavioral/Learning Objectives:
- Define sudden cardiac death and relate the
arrhythmias most often responsible for it and
the type of patient most likely to be at higher
risk.
- List five causes of ventricular premature
beats (or contractions) (VPBs, VPCs, or PVCs)
and describe the ECG features and patterns of
occurrence.
- Recognize ventricular tachycardia and
contrast it with supraventricular tachycardia.
- Differentiate accelerated idioventricular
rhythm and ventricular tachycardia, explaining
differences in treatment and outcome.
- Discuss ventricular fibrillation and
delineate treatment.
- Recognize ventricular asystole and discuss
treatment options.
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Accreditation Information |
Respiratory Therapists –
This program has been approved for 9 contact hours
Continuing Respiratory Care Education (CRCE) credit
by the American Association for Respiratory Care,
9425 N. MacArthur Blvd. Suite 100 Irving TX 75063
Course # 203152000.
Nurses – Academy Medical Systems is an
approved provider of continuing nursing education by
the Illinois Nurses Association, an accredited
approver by the American Nurses Credentialing
Center’s Commission on Accreditation. 9.0 contact
hours will be rewarded to nursing professionals at
the completion of this workshop.
Academy medical
Systems is also a provider approved by the
California Board of Registered Nursing, provider
#CEP14413, for 9.0 hours. And we are also a provider
approved by the Florida Board of Nursing, provider
#50-19, for 9.0 hours.
Iowa Nurses – The Iowa
Board of Nurses will recognize the recorded webinars
as a home study program. They recognize our ANCC
approved provider status as well as our CA and Fl
Board of Nursing provider approval for home study
products for nurses in Iowa.
All other states
recognize our approved provider status listed in the
above text for continuing education credit for
nurses.
Dietitians - Academy Medical Systems is a
Continuing Professional Education (CPE) Accredited
Provider with the Commission on Dietetic
Registration (CDR.) Registered dietitians (RDs) and
dietetic technicians, registered (DTRs) will receive
9.0 continuing professional education units (CPEUs)
for completion of this program/material.
Occupational Therapist -
Occupational Therapist will receive 9, continuing
education hours for completion this program and a
test score of 70% or better. AMS is an approved
provider for the AOTA , provider # 5470. This
course is an intermediate education level.
Exercise Physiologist – ACSM recognizes
AMS’s approved provider status with the ANCC and
will honor our continuing education for Certified
Exercise Physiologist recertification purposes.
Certified Cardiovascular Techs – Cardiovascular
Credentialing International recognizes our approved
provider status with the ANCC for continuing
education courses for CCTs.
Certified Athletic
Trainers – Academy Medical Systems is recognized by
the Board of Certification (BOC) to offer continuing
education for certified athletic trainers. 9 hours
will be awarded at the completion of this program.
Physical Therapists - PTs in the following states
will receive 9 contact hours for completion of all 6
webinars: AK, CO, CT, HI, IA, ID, IN, KS (Cat 2),
MA, ME, MI, MN (Cat 2), MT, NE, NM, ND, OR, PA, RI,
SC, SD, UT, VA (Type 2), VT, VI, WA, WY.
We are
an approved provider to offer continuing competency
courses to CA PTs, approval date 4/5/10.
The AR
Board of Physical Therapy has approved this course
for 9 Contact hours. The following state boards
recognize other state’s approval: AL, AZ, GA (Class
1), KY, MO, MS, OK (Cat 2), TN (Cat 1), WI.
Because each state’s continuing education
requirements for physical therapists is subject to
change, please verify this information with your
state board. Thank you.
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