This three day course provides hands on experience in interpreting a wide range of Adult 12 lead EKGs. The emphasis is on repetitive use of the learned skills to reinforce the student's knowledge of 12 lead interpretation. Strongly emphasized is the use of the 12 Lead in Emergency Settings to make triage and treatment decisions. Participants will work in two member teams to practice the skills learned. The sessions are conducted in an upbeat, embarrassment-free atmosphere. The training is provided by a three member, multidiciplinary team, consisting of a Nurse Practitioner, a Physician's Assistant, and a Paramedic Educator.
Pretest - Don't panic. This is necessary for CME requirements. This helps measure instructor performance.
Brief History of Electrocardiolgraphy
Terminology, Abbreviations, Equipment types
Acquisition of the 12 Lead. (including other important leads like V7, V8, V9, V3R, V4R, and V5R)
The Hexaxial Lead System, Wires and lead systems explained
Anatomy of the Heart, its chambers, valves, electrical system and coronary artery supplies
Cardiac Electrophysiology, Depolarization and Repolarization made simple
Wave Nomenclature, The rules on how to label the waves
Axis Determination
Bundle Branch Blocks
Practice
Homework assigned
Hemiblocks
Cardiac Pathophysiology
Ischemia and its effects on the EKG
Injury and its effects on the EKG
Infarction and its effects on the EKG
ST/T wave abnormalities
Q waves
Lead/Heart Correlation
Subendocardial infarction
Practice
Chamber Enlargement
Advanced Monitoring Leads, MCL1, MCL6, S5, Esophageal
Prinzmetal Angina
Accessory Pathways, LGL and WPW
Torsades de Pointes
EKG Alterations, Influence of drugs, hypothermia, electrolytes, TCAs, Dig. on the EKG
The EKG in Pulmonary Disease
Practice
Post Test
Course Evaluation
Medical Students, Resident Physicians, Nurses, PA's, Paramedics, Community Physicians, or anyone who has the responsibility to assess and diagnose 12 lead EKGs.
Day to day contact with EKGs
Completion of a Basic arrhythmia interpretation course
ACLS training is often helpful but not required.
Bruce Lee, RPA-c, EMT-P
Carol Lee, NP, EMT-P
Peter Bonadonna, EMT-P
Coffee, juice and bagles are provided each day
Lunch is not provided. A one hour lunch break allows student to dine at one of the many local restaurants or food courts.
Classes are conducted at the Public Safety Training Facility of MCC which is located at 1190 Scottsville Road in Rochester. MAP
Course content and criteria closely follow those established by Henry J. L. Marriot, M.D.
Course has been approved for Paramedic and Nursing Continuing Education Credits.
This is a 1 credit course (EMS250) Course fee is approximately $105.00, includes book and all materials.
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URL: /depts/pstc/par12app.htm
Updated: February 14, 2002