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Recognize Lethal ECG Rhythms: Conquer the Patient Clues

Robin Gilbert, MSN, RN, CEN, CPEN
6 Hours 23 Minutes
Aug 26, 2020
PESI, Inc.
Product Code:
Media Type:
DVD - Also available: Digital Seminar


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! 


* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  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 completion.

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 profession's standards.  All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 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

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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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 6.3 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 6.25 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.



Robin Gilbert, MSN, RN, CEN, CPEN's Profile

Robin Gilbert, MSN, RN, CEN, CPEN Related seminars and products

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.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  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.


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


  • 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

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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ADA Needs
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