Cheryl Herrmann – Master 12-Lead EKG & Chest X-Ray Interpretation – PESI

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Exploring the Essential Features of “Cheryl Herrmann – Master 12-Lead EKG & Chest X-Ray Interpretation – PESI”

Speaker: Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC

Duration: 6 Hours 01 Minutes

Format: Audio and Video

Copyright: Mar 04, 2022  

Media Type: Digital Seminar

Description

You commonly rely on EKG and Chest X-Ray results to diagnose a wide variety of cardiac and respiratory conditions, yet even the most seasoned NPs, PAs, and RNs can struggle to truly master interpretation of these key tests.

We understand the complexities involved and have heard your requests for a program that will advance your skills and confidence. Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC, is the critical care/cardiac expert clinician selected to develop this program – to take your own practice to another level!

Don’t miss this opportunity 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

Cheryl’s practical insights and research-based updates will elevate new ways of thinking. You will be able to rapidly assess, take information from the incoming test results and initiate the best treatments for your patients.

Speaker

Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC

Cheryl Herrmann, RN, MS, APRN, CCRN, CCNS-CSC/CMC, has 40+years of nursing experience – 15 years as a bedside nurse in critical care and 25 + years as a cardiac clinical nurse specialist. In her career, she has assessed and managed cardiology, cardiovascular surgery and critical care patients from the prehospital setting as PHRN on the ambulance to patients in cardiac progressive and critical care units. As CNS, she helped develop the Rapid Response Team and Protocols at her institution and was chairman of the RRT committee to analyze and improve outcomes. One of the creative teaching methods to improve outcomes was being involved in biyearly “Preventing a Crisis” sessions for acute care nurses that utilized recent case studies to discern strategies to prevent the crisis. Cheryl has a passion for cardiac nursing and is an advocate for empowering nurses to become experts.

She is a popular presenter for national conferences including the American Association of Critical Care Nurses NTI. Cheryl has been honored with the American Association of Critical Care Nurses Circle of Excellence – Excellent Clinical Nurse Specialist Award.

Speaker Disclosures:

Financial: Cheryl Herrmann has employment relationships with Carle Health Greater Peoria and Liberty University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Cheryl Herrmann is a member of the Heart of Illinois AACN, the Illinois Society of Advanced Practice Nurses, the National AACN, and the National Association of Clinical Nurse Specialists.

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.

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

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