12 Lead EKG Education

About our Course

This three day course provides hands on 

experience in interpreting  a  wide range

of  adult 12 lead EKGs.  The  emphasis

is on  repetitive use of the learned skills

to reinforce the student's knowledge of

12  lead  interpretation.  Strongly

Emphasized  is  the  use of the 12 Lead

in emergency settings to make triage and

treatment decisions.  Participants  will

work in two member teams to practice

the skills learned.  The  sessions  are

conducted in an upbeat, embarrassment-

free atmosphere. The training is provided

by a three member, multidisciplinary

team, consisting of a Nurse Practitioner,

a Physician's Assistant, and a Paramedic

Educator. Our content closely follows

the work of world renowned cardiologist,

author and teacher Henry JL Marriott, MD.



Introduction of staff, objectives, paperwork.

Pretest - Don't panic. This is necessary for CME requirements. This helps measure instructor performance.

Brief History of Electrocardiolgraphy

Terminology, Abbreviations, Equipment types

Acquisition of the 12 Lead. (including other important leads like V7, V8, V9, V3R, V4R, and V5R)

The Hexaxial Lead System, Wires and lead systems explained

Anatomy of the Heart, its chambers, valves, electrical system and coronary artery supplies

Cardiac Electrophysiology, Depolarization and Repolarization made simple

Wave Nomenclature, The rules on how to label the waves

Axis Determination

Bundle Branch Blocks


Homework assigned


Reveiw of homework


Cardiac Pathophysiology

Ischemia and its effects on the EKG

Injury and its effects on the EKG

Infarction and its effects on the EKG

ST/T wave abnormalities

Q waves

Lead/Heart Correlation

Subendocardial infarction



Chamber Enlargement

Advanced Monitoring Leads, MCL1, MCL6, S5, Esophageal

Prinzmetal Angina

Accessory Pathways, LGL and WPW

Torsades de Pointes

EKG Alterations, Influence of drugs, hypothermia, electrolytes, TCAs, Dig.

The EKG in Pulmonary Disease


Post Test

Course Evaluation

This is an entry level program appropriate for:

Medical Students, Resident Physicians, Nurses, PA's, Paramedics, Community Physicians, or anyone who has the responsibility to assess and diagnose 12 lead EKGs.


Day to day contact with EKGs

Completion of a basic arrhythmia interpretation course

ACLS training is often helpful but not required.



Enjoying some time with Dr. Henry Marriott “Barney”.   We were less gray back then.