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1. Review normal 12-Lead EKG and the polarity of each lead
2. Identify axis deviation and implication in clinical practice
3. Discuss the criteria, causes, and significance of left and right bundle branch blocks
4. Analyze EKG changes associated with ischemia, injury, and infarction patterns
5. Develop a quick approach to diagnosis of STEMI on 12-lead EKG
6. Analyze EKGs for subtle and high-risk signs
7. Develop a systematic approach to chest X-ray interpretation
8. Identify correct placement of common invasive lines on chest X-rays
9. Differentiate between common cardiac and pulmonary disorders on chest X-rays
10. Discover the clinical pearls of EKG and chest X-rays in challenging case studies

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
• 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

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Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-397-0180 for more details.

Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.

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Nurses

Vyne Education, LLC. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This educational offering is offered for 5.75 contact hours.

Nurses - California: Vyne Education, LLC. is approved by the California Board of Registered Nursing, Provider #CEP 16668, for 6.9 contact hours. Full attendance is required to receive credit, variable credit for partial attendance may not be awarded.

Nurses - Florida: Vyne Education, LLC. is an approved provider by the Florida Board of Nursing, provider #50-466. This educational offering is offered for 5.75 contact hours.

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Other Professions
This educational offering qualifies for 5.75 continuing education hours 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 filing requirements.

All Professionals
In order to process continuing education, please supply the appropriate license certification number on the evaluation form.

Certificates, Educational Offering Completion Requirements
Certificates will be awarded upon receipt of payment and successful completion of the educational offering and evaluation form.

Requirements
Please note that full attendance and the completion of a post course assessment with a score of 80% or greater is required to receive full credit. Variable credit will not be awarded.

Technology Requirements
Digital Seminars, Live Video Webcast, and Online Course will require participants to set up a personal portal account via Vyne Education, LLC.’s website at www.vyne.com and have access to a computer with a sound device. Participants will have digital access to the  recording, course manual, post-test, and evaluation form. DVDs are sent through the mail (USPS). Participants will need access to a computer with an internet connection and a DVD drive. Participants will receive an Instruction Sheet and a DVD containing a link to the course manual, the video-recording, and a link to post-test and evaluation form. Participants have two options when completing their post-test and evaluation form; Participants may complete their test and evaluation online, which will require access to a computer and their personal portal account, or they may download, print, and complete the paper test and mail back to Vyne Education. 

ADA
If you require ADA accommodations, please contact Vyne Education at least two weeks before the seminar date or prior to purchasing any online or distance learning products so that arrangements can be made.

Acute Care and Family Nurse Practitioners, Registered Nurses in:, Critical and Intensive Care, Acute Care, Cardiac Care, Emergency Department, Physician Offices, Physician Assistants, Clinical Nurse Specialists, Medical Assistants, Emergency Medical Technicians, Paramedics, Respiratory Therapists