Cheryl Herrmann – 12-Lead EKG & Chest X-Ray Interpretation: Enhancing Assessment Skills for Improved Outcomes
- Faculty:
- Cheryl Herrmann
- Duration:
- 5 Hours 21 Minutes
- Format:
- Audio and Video
- Copyright:
- Jun 02, 2018
Description
Handouts
| Manual – EKG & Chest (71.20 MB) | 186 Pages | Available after Purchase |
Outline
PART I: THE ABCS OF 12-LEAD EKG INTERPRETATION
12-Lead EKG 101
- Cardiac electrical conduction system
- Electrical vectors
- Introduction to the 12-leads
- Limb leads
- Augmented leads
- Chest leads
- Introduction to the 12-leads
- Normal polarity and P-QRS-T configuration of each lead
Ace the Axis
- Left and right axis deviation
- Causes and criteria of axis deviation
- Methods to determine axis deviation
- Case presentations, analysis, and clinical application
Beat the Bundles
- Right and left bundle branch blocks (BBB)
- Criteria for right vs. left BBB
- Causes and complications of right and left BBB
- Left anterior and left posterior hemiblocks
- Case presentations, analysis, and clinical application
Correlate the Coronary Anatomy
- Coronary arteries
- Right coronary artery (RCA)
- Left coronary artery (LCA)
- Left anterior descending artery (LAD)
- Circumflex artery (CX)
- Posterior descending artery (PDA)
- Left ventricular walls
- Inferior
- Anterior
- Septal
- Lateral
- Posterior
- Relationship of coronary arteries and ventricular walls to the 12-leads
- Inferior—RCA—leads II, III, AVF
- Anterior/septal—LAD—leads V1–V4
- Lateral—circumflex—leads I, AVL, V5, V6
- Posterior—PDA—reciprocal changes V1–V4
Differential Diagnosis: 12-Lead EKG in Acute Coronary Syndrome
- Ischemia pattern
- Injury pattern
- Infarction pattern
- Reciprocal changes
- ST segment elevation myocardial infarction (STEMI)
- Non-ST segment elevation myocardial infarction (NSTEMI)
- Coronary spasm
- Takotsubo cardiomyopathy (broken heart syndrome)
Example and Analysis Time – Piecing It All Together
- 30-second diagnosis of STEMI on 12-lead EKG
- Coronary angiographic correlation to 12-lead EKG
- Case presentations, analysis, and clinical application
Advanced 12-Lead: Challenging Clinical Presentations
- Atrial and ventricular hypertrophy
- Wolff-Parkinson-White syndrome
- Prolonged QT intervals
PART II: CHEST X-RAY INTERPRETATION – AS EASY AS BLACK AND WHITE
Note: Most chest X-ray examples will be AP films
Chest X-ray basics
- Technique
- Black and white principles
- Projections
- Anterior-posterior (AP)
- Posterior-anterior (PA)
- Lateral
Systematic Approach
- Bone structures
- Intercostal spaces
- Soft tissues
- Lungs/trachea/pulmonary vasculature
- Pleural surfaces
- Diaphragm
- Mediastinum
- Heart and great vessels
- Invasive lines
As Easy as Black
- Pneumothorax
- Subcutaneous emphysema
- Clinical application and treatment
As Easy as White
- Pleural effusion
- Pulmonary edema
- Pneumonia
- Atelectasis
- Acute respiratory distress syndrome (ARDS)
- Cardiomyopathy
- Pericardial effusion
- Cardiac tamponade
- Clinical application and treatment
Beyond the Basics
- Aortic aneurysm
- Post-op changes with pneumonectomy
- Hydropneumothorax
- Esophagogastrectomy
- Dextrocardia
- Clinical application and treatment
PART III: CXR & 12 LEAD EKG CASE PRESENTATIONS, ANALYSIS, AND CLINICAL APPLICATION
Faculty
Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC-CMC Related seminars and products: 6
CHERYL HERRMANN, RN, MS, APRN, CCRN, CCNS-CSC/CMC, has 31 years of nursing experience—15 years as a bedside nurse in SICU, Neuro ICU, and CVICU, and 16 years as a cardiac clinical nurse specialist. As a cardiac CNS, she cares for patients in cardiac prep and recovery, cardiac catheterization, surgery, ICU, telemetry/progressive units, and at discharge. In addition, Ms. Herrmann is a Prehospital RN for the local ambulance service. She has a passion for cardiac nursing and is an advocate for heart health, particularly in raising awareness of heart disease in women.
Ms. Herrmann is a reviewer for a critical care textbook as well as several nursing journals, one of which, Critical Care Clinics, recently published her article “A Woman’s Heart is Different.” She is a popular presenter for local nursing colleges, church and service groups, and EMS groups, as well as national conferences such as the American Association of Critical Care Nurses NTI. In 23 years of volunteer work, she has provided vital medical supplies, services, and training to the poor and disadvantaged in Mexico, Ethiopia, Haiti, and Indonesia. She has been team leader of 40 medical-dental teams to Mexico and participated in a Critical Care Nursing Ambassador program to China.
In 2005, Ms. Herrmann was honored with the American Association of Critical-Care Nurses Circle of Excellence—Excellent Clinical Nurse Specialist Award and the Twenty-Five Women in Leadership Award in central Illinois. She is the recipient of the 2009 University of Illinois Alumni Award. Her nursing career has been profiled in Advance for Nurses. Ms. Herrmann believes that learning should be fun and stimulating. She has created numerous educational puzzles and games for nurses, three of which have been published in AACN News. She presents material in a way that all health professionals caring for the cardiac patient, regardless of where they are in the continuum, take home valuable knowledge and new skills. For more information about Ms. Herrmann, please visit www.cherylherrmann.com.
Speaker Disclosures:
Financial: Cheryl D. Herrmann has an employment relationship with UnityPoint Health Cardiology. She receives a speaking honorarium from PESI, Inc.
Non-financial: Cheryl D. Herrmann is a member of the Illinois Society of Advanced Practice Nurses and National Association of Clinical Nurse Specialists.
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