Why This Program?
Why Attend?
Increase correct activation
The STEMI/OMI MasterClass
The program is offered in two levels as well as a hybrid version.
LEVEL I
Attention is paid to the strategies producing the biggest improvements for the least
amount of effort. The sections of this Level include:
Critical thinking:
A flow chart that guides you through the ECG interpretation process used throughout the program. A model of critical thinking that integrates the patient’s clinical presentation, ECG findings, and portions of the ECG device’s statement.
STEMI Tune-Up:
It is assumed you are already familiar with the essentials of STEMI recognition. From there, we take a lesson learned approach and focus on where improvements are often best made.
Ruling out the top STEMI impostors:
Non-ischemic causes of ST elevation are very commonly encountered. This section identifies the “usual suspects” and shows you how to rule them out in a few seconds.
The less obvious STEMI:
There is more to it than just looking for ST elevation. Understanding isolated posterior STEMI and the dynamic nature of ST elevation in STEMI increases appropriate cath lab activations.
STEMI in the presence of an impostor:
STEMI impostors can produce ST elevation when no STEMI is present. However, a STEMI may be ongoing in the presence of an impostor. This session provides initial strategies to suspect a STEMI in the presence of LVH, BBB, and other impostors.
LEVEL II
A deeper dive into the topics of Level I, along with a few new topics. These sections of this Level include:
Obstructive Myocardial infarction:
In addition to ST elevation, other ECG findings can suggest the need for immediate reperfusion in the cath lab. This section looks at ECG findings for impending STEMI and STEMI equivalents. These can be collectively considered evidence for obstructive myocardial infarction (OMI).
Additional STEMI impostors:
Beyond the “usual suspects,” there are many additional STEMI impostors. This section examines stress cardiomyopathy (Takotsubo Syndrome), aortic aneurysm, pulmonary embolism, ventricular aneurysm, and more.
Suspecting STEMI in the presence of an impostor:
Picking up here we left off in Level I, we dive deeper to provide additional strategies, including: Analyzing the ST segment shape (beyond smiling and frowning), when to use concordant/discordant ST changes, Sgarbossa criteria, and others.
AV block in STEMI:
It’s not just a matter of degree! Learn to use the 12-lead to predict the location, cause, severity, stability, and appropriate treatment for an AV block caused by STEMI.
HYBRID
This is a custom blend of Levels I and II. The Hybrid is our most popular in-person program.
We begin by covering the major concepts from Level I. Then, we hit some highlights from Level II.
The exact content and number of contact hours vary based on the preferences of the local host. Check your course flyer for specific times and hours.
Tim’s Unique Approach
Why Attend?
The STEMI/OMI MasterClass:
Critical thinking for improved cath lab activation
Helping individual healthcare providers and STEMI systems to
Increase correct activation
Reduce unnecessary activation
Haven't we already conquered STEMI ?
No! There is still more progress to attain. Many STEMI systems are surprised to learn that simple improvements could increase correct STEMI identification by perhaps 20%!
Additionally, those gains can be made while simultaneously reducing unnecessary STEMI activation (false positives).
What’s more, these strategies are designed to work in the real world. Even at 2:00 AM of a double shift!
Is the program specific to a particular device?
The focus of the program is 12-lead ECG interpretation, critical thinking, and clinical decision making. The program is not device specific.
Who is the target audience?
The program is designed specifically for non-physicians that are called upon to review a 12-lead ECG and participate in the STEMI recognition/alert process. Therefore, this program was created with paramedics and nurses in mind. However, many respiratory therapists, nurse practitioners, and physician assistants have participated in the program and found it helpful.
Is continuing education credit provided?
The local host provides the continuing education credit for the workshop. Please check the course flyer for your specific workshop to determine the type of continuing education credit offered and the number of hours provided.
I still have questions!
For questions about the STEMI MASTERCLASS, either reach out to the local hosting agency or contact Tim Phalen directly using the contact form at the bottom of the main page .
