Advanced 12 Lead EKG
Don’t make a lethal, critical mistake!
You need to ask anyone who presents to your Emergency Department with chest symptoms, whether it is chest pain, pressure, shortness of breath, indigestion or cough, “Who is your PAPPA?” I mean, look at them, and point to them and say, “Who’s your PAPPA?” PAPPA is a mnemonic for the high-risk, can’t-miss cause of chest pain, and is a must to assist you with finding the proper chest pain diagnosis. When I say, “can’t miss,” I mean that if you miss it and they go home, they could die. If we play the odds, we are obligated to focus our attention toward the acute coronary syndrome. But, there are other causes of chest pain that are equally as lethal and more elusive. You do not want to come to work and have someone say to you, “Hey, remember that patient you saw the other day?” because these conversations never end positively. You’re not about to hear that the patient sent you a thank you note. It’s more likely that the patient was admitted to another hospital with something bad, or came back to your hospital with something bad, or died!
The first two letters in PAPPA have to do with the heart. The next two have to do with the lungs. And the last “A” is an aneurysm. Here’s the code:
- P is Pericarditis
- A is as Acute coronary syndrome (or acute myocardial infarction,)
- P is Pneumothorax
- P is Pulmonary embolism
- A is Aneurysm
There are two main attack strategies to assess acute chest pain. One is a systematic evaluation, and the other is the emergency assessment by the assessment of cardiac enzymes, the EKG/ECG. That means you have to be a master at 12 lead EKG/EKG interpretation. What are the 6 causes of ST segment elevation? I cannot stress this enough. Chest pain is a risky business. You need a system to apply 100% of the time in any patient that presents with chest symptoms. It has to be reproducible and easy to apply. Ask, “Who’s Your PAPPA?” This works. I swear by it. Then, you have to be strong at evaluating the 12 lead EKG/ECG. 25 percent of missed acute myocardial infarctions are directly due to the misinterpretation of the EKG/ECG. Sharpen your EKG/ECG skills at the Skin, Bones, Hearts & Private Parts® CME conference.
AAPA Credit Value:
This program is not currently approved for AAPA Category 1 Credit CME.
Tech Add-Ons (Package Options Only)
This item is not eligible for technology add-ons. Tech Add-On Packages can be found at builder.CME4LIFE.com.
Referral Program Statement:
CME4LIFE products will be shipped within 1-2 business days after payment is received for your purchase. All products are shipped via USPS® priority mail service. For specific details on the shipment of your product, please call our support team at (800) 263-6840.
Customers are allowed 60 days from the date of the initial purchase. Customer is also responsible for any fees incurred for the shipment of the returned product and to insure the package includes full replacement value of the contents received. Refunds will be issued back to the credit card that was used to make the original purchase (minus shipping and handling costs).
*Returns will not be accepted for any CME4LIFE “Tech Add-On” items including: Gift Cards, Apple iPad, Apple Watch 2, or Microsoft Surface Pro.