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Digital Seminar

Complex Cardiac Emergencies: Assessment, Recognition and Management

Terri A. Donaldson
5 Hours 20 Minutes
Audio and Video
Copyright :
Oct 15, 2013
Product Code:
Media Type:
Digital Seminar


Course Description:

When faced with a cardiac emergency, you know that response time is critical. The challenge is to make the best use of that very tight time frame in terms of your patient's urgent care needs. Attend this practical and comprehensive program and gain the skills and knowledge you need to quickly detect the early warning signs of an emergent cardiac situation. Learn focused assessment techniques and the latest intervention strategies to confidently set and manage treatment priorities, minimize complications and improve patient outcomes.

Drawing on over 23 years of cardiac and critical care nursing, Terri Donaldson will share with you the latest evidence-based approaches to evaluating and treating patients presenting with acute cardiac problems. Through interactive discussion and hands-on learning, you will have the opportunity to enhance your ECG interpretation skills, analyze urgent cardiac care case scenarios and explore the leading-edge response techniques. You will leave with a renewed commitment to achieving excellence in cardiac care.

At the completion of this program, you should be able to:

  1. Differentiate the etiologies of chest pain, including acute coronary syndrome, pulmonary embolism, and aortic dissection.
  2. Identify the electrocardiographic changes associated with acute coronary syndrome.
  3. Analyze the pharmacological and non-pharmacological treatment strategies for acute coronary syndrome.
  4. Utilize evidenced-based practice to describe optimal patient outcomes for the patient experiencing acute coronary syndrome.
  5. Distinguish the variant electrocardiographic changes that imitate myocardial infarction.
  6. Determine the management priorities in the care of the patient experiencing crises associated with acute myocardial infarction, including cardiogenic shock, right ventricular infarction, and mechanical complications.
  7. Describe the cardiac dysrhythmias that require urgent or emergent intervention.
  8. Examine the clinical presentation, exam findings, and treatment of cardiac tamponade.


Program Outline:

  1. Acute Coronary Syndrome (ACS)
    1. Unstable angina/NSTEMI
    2. STEMI
    3. Assessment of chest pain
      1. Atypical presentations
    4. Diagnosis of ACS
      1. Cardiac biomarkers
      2. Electrocardiographic changes
        1. Ischemia
        2. Injury
        3. Infarction
      3. Diagnostic studies
        1. Rest and stress imaging studies
        2. Stress testing
        3. Cardiac catheterization
        4. Coronary angiography
      4. Evidenced-based guidelines for management of ACS
      5. Pharmacologic management
      6. Reperfusion options
        1. Selection of strategies
        2. Pharmacologic reperfusion
        3. Percutaneous coronary intervention (PCI)
        4. Surgical reperfusion
      7. Ancillary therapy
  2. Imposters and Variants
    1. 12-Lead ECG
      1. Early repolarization
      2. Hypertrophy
      3. Pericarditis
      4. Cor pulmonale
    2. Chest pain
    3. Pericarditis
    4. Pulmonary embolism
    5. Aortic dissection
    6. Management decisions
  3. Complications of Myocardial Infarction
    1. Cardiogenic shock
      1. Hemodynamic parameters
      2. Pharmacogical management
      3. Mechanical assist devices
    2. Right ventricular infarction
      1. Clinical presentation and diagnosis
      2. Management strategies
    3. Mechanical complications and management strategies
      1. Ventricular septal defect
      2. Left ventricular free wall rupture
      3. Left ventricular aneurysm
      4. Papillary muscle rupture
  4. Urgent/Emergent Cardiac Dysrhythmias
    1. Ventricular dysrhythmias
    2. Heart block
    3. Supraventricular rhythms
      1. Atrial tachycardia
      2. Atrial fibrillation/flutter
      3. Re-entry tachycardias
      4. Wolff-Parkinson-White
      5. Junctional tachycardia
    4. Management approaches
  5. Cardiac Tamponade
    1. Etiology
    2. Clinical presentation
    3. Physical exam findings
    4. Diagnosis and management
  6. What’s on the Horizon for Cardiac Nursing?


ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.




NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive 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. 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, please contact 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

Cardiovascular Technology Professionals

Cardiovascular Credentialing International (CCI) recognizes programs and providers approved by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This self-study package will qualify for 5.4 contact hour.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

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

Nurses completing these self-study materials will earn 5.4 contact hours. Expires: .

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.0 self-study contact hours.

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.5 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 5.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Terri A. Donaldson Related seminars and products:


Terri A. Donaldson has over 23 years of experience in cardiac and critical care nursing. She is currently an Assistant Professor of Nursing at Vanderbilt University School of Nursing in Nashville, where she teaches in the acute care nurse practitioner and doctoral nursing programs. Terri is also the coordinator of the transplantation subspecialty in the Acute Care Nurse Practitioner Program. She frequently lectures on cardiovascular disorders, including coronary artery disease, medical and surgical interventions for cardiovascular disease, heart failure, and heart transplantation.

Terri has extensive experience caring for patients requiring critical care interventions, including mechanical ventilation, pulmonary artery catheters and hemodynamic monitoring, vasoactive medications, mechanical assist devices, and continuous renal replacement therapy. As a cardiovascular clinical nurse specialist, Terri has facilitated skill development of critical care nurses at the bedside and assisted in the care of patients with complex cardiovascular disease. Terri completed her Doctor of Nursing Practice degree in 2007.


Financial: Terri Allison Donaldson is receiving a fee for speaking at this educational activity.
Nonfinancial: Terri Allison Donaldson has no relevant nonfinancial relationships to disclose. 

Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, Cardiovascular Technology Professionals, Advanced Paramedics



Overall:      5

Total Reviews: 7

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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