Robin Gilbert – PESI – Recognize Lethal ECG Rhythms: Conquer the Patient Clues

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Robin Gilbert – PESI – Recognize Lethal ECG Rhythms: Conquer the Patient Clues

Register today to advance your ECG skills!  Leave with brand new insights to recognize not only lethal rhythms, but other diagnoses that can present with ECG changes.  Learn how to assess for other patient clues that will help you analyze the complete clinical picture and initiate crucial interventions.

Imagine taking care of your patient when he suddenly becomes pale, diaphoretic, and tells you his heart is “going crazy”. You check his pulse…because that’s what nurses do… his heart rate is rapid and his blood pressure is 70/50. You connect him to the cardiac monitor get a stat ECG. His rate is >200, it looks like atrial fibrillation, but the QRS is wide…OH NO!!

Reading ECG’s proficiently takes practice and fine tuning over time. Experienced nurses from various departments and units have admitted to feeling terrified of ECG’s.  Yes….terrified to miss something that the patient’s ECG is indicating. You don’t need to know everything, but you do need to know how NOT to miss the big stuff!

Speaker

Robin Gilbert, MSN, RN, CEN, CPEN
Robin Gilbert, MSN, RN, CEN, CPEN, has over 25 years of experience in emergency nursing. She is both a certified emergency nurse and a certified pediatric emergency nurse. Robin has extensive experience working in the emergency department, progressive care, intermediate care, transitional care, step-down and, currently, as the regional manager for staff development at Central Maine Medical Center. Robin draws on her expertise to teach her own hospital staff and experienced healthcare audiences throughout the country on a variety of critical care and emergency nursing topics.

She has been an item writer for the Board Certification of Emergency Nursing (BCEN), a former Chairperson of BCEN, and most recently a contributing writer for the current CEN Review Manual. Robin is an active member of the Emergency Nurses Association, the American Nurses Association, Society of Critical Care Medicine, Association for Nursing Professional Development, and is a reviewer for the ANCC’s Pathway to Excellence.

Speaker Disclosures:
Financial: Robin Gilbert has employment relationships with EBSCO, Central Maine Medical Center, 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 Society of Critical Care Medicine, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Emergency Nurses Association.

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

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