Seminar Detail

12-Lead EKG & Chest X-Ray Interpretation: Enhancing Assessment Skills for Improved Outcomes
12-Lead EKG & Chest X-Ray Interpretation: Enhancing Assessment Skills for Improved Outcomes

Where:   ST LOUIS, MO

When:  Thursday, April 25, 2019 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

The EKG and Chest X-Ray are the most commonly used procedures for diagnosing a wide variety of cardiac and respiratory conditions, yet even the most seasoned nurses struggle to master interpretation. Attend this seminar and finally learn to recognize borderline and abnormal findings. In this information-packed program expert, Cheryl Hermann, will teach you easy-to-understand techniques to identify coronary and pulmonary problems you would have previously missed. Don't miss this opportunity to learn how to:
  • Analyze QRS axis to determine diagnosis
  • Contrast left anterior and posterior hemiblocks
  • Recognize the location of acute coronary syndromes
  • Interpret chest x-rays for differential diagnosis
  • Perform more efficient and effective patient assessments
  • And most importantly, respond to the patient emergencies associated with each of these changes!
If there is no CE tab, please refer to the course brochure for continuing education information.
Learner Objectives:

  1. Analyze EKG changes associated with ischemia, injury and infarction patterns.
  2. Specify the features of right bundle branch block from the features of left bundle branch block.
  3. Evaluate axis deviation and the implications for clinical practice.
  4. Assess common cardiac and pulmonary disorders using the chest x-ray.
  5. Detect the placement of invasive lines on chest x-rays.
  6. Develop a systematic approach to chest x-ray interpretation.
  7. Incorporate the clinical pearls of EKG and chest x-ray interpretation into daily practice.
Program Outline

Part I: The ABCs of 12-Lead EKG Interpretation

  • The 12-Lead EKG
    • Cardiac electrical conduction system
    • Electrical vectors
    • Normal polarity & P-QRS-T configuration of each lead
  • Ace the Axis
    • Left & right axis deviation
    • Causes & criteria
    • Methods of determining axis deviation
    • Clinical applications
  • Beat the Bundles
    • Right & left bundle branch blocks
    • Causes & complications
    • Left anterior & left posterior hemiblocks
  • Correlate the Coronary Anatomy
    • The coronary arteries
    • Left ventricular walls
    • Relationship to the 12-lead
  • Differential Diagnosis in Acute Coronary Syndrome
    • Ischemia, injury & infarction patterns
    • Reciprocal changes
    • STEMI vs. NSTEMI
    • Coronary spasm
    • Takotsubo cardiomyopathy
  • Putting it all Together
    • The 30-second diagnosis
    • Coronary angiographic correlation
    • Presentations, analysis & clinical applications
  • Advanced Interpretation
    • Atrial & ventricular hypertrophy
    • WPW - Wolff-Parkinson-White Syndrome
    • Prolonged QT intervals

    Part II: Chest X-Ray Interpretation as Easy as Black & White

    • The Chest X-Ray
      • Technique
      • Black & white principles
      • Projections
    • Systematic Approach
      • Bone structures & Intercostal spaces
      • Soft tissues & vasculature
      • Pleural surfaces
      • Heart & great vessels
      • Invasive lines
    • As Easy as Black
      • Identifying pneumothorax & subcutaneous emphysema
      • Treatment priorities
    • As Easy as White
      • Identifying:
        • Pleural Effusion
        • Pulmonary Edema
        • Pneumonia
        • ARDS
        • Cardiomyopathy
        • Cardiac Tamponade
      • Clinical applications & interventions
    • Beyond the Basics
      • Identification & Initial Treatment of:
        • Aortic aneurysm
        • Post-op changes with pneumonectomy
        • Esophagogastrectomy
        • Dextrocardia
    Target Audience

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

    CHERYL HERRMANN, RN, MS, APN, CCRN, CCNS-CSC/CMC

    Cheryl Herrmann, RN, MS, APN, CCRN, CCNS-CSC/CMC, shares her vast cardiac knowledge and experience to provide an interactive, dynamic, high-energy and easy-to-understand seminar. Her 35+ years of clinical experience include 15 years as a bedside critical care nurse and over 20 years as a Cardiac Clinical Nurse Specialist with hospitalized and clinical cardiac medical and surgical patients. In addition, Cheryl is a Prehospital RN for the local ambulance service. She is a popular speaker for local, regional and national conferences, including presenting at the American Association of Critical Care Nurses, NTI, for the past 10 years. Cheryl has also been a team leader for medical-dental teams going to Mexico and participated in a Critical Care Nursing Ambassador program to China.

    Cheryl is a published author and a previous recipient of the American Association of Critical Care Nurse Circle of Excellence – Excellent Clinical Nurse Specialist Award. 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 pearls of wisdom and new skills.



    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.
    Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

    If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

    Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

    PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.




    Nurses, Nurse Practitioners, and Clinical Nurse Specialists
    American Nurses Credentialing Center Logo
    PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

    Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.


    Physician Assistants
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    This program has been reviewed and is approved for a maximum of 6.25 hours of clinical Category I CME credit by the American Academy of Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity. This program was planned in accordance with AAPA’s CME Standards for Live Programs and for Commercial Support of Live Programs.


    Other Professions
    This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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