On-Site Ultrasound | EKG Course Tutorial

Perform like the most successful people in your field

Who Will Benefit
Topics include:

In 1975, When our Program Director went to work in one of the first Cardiac Intensive Care Units in the country, he found himself electrocardiographically underwater.  Within a year, he was one of those in charge of the place.  This course summarizes what he learned and how he learned to think about The integration of the heart to its EKG.  It took thirty years to research and three years to write it.  You’ll master it much more quickly, and more importantly, you’ll understand vastly more than those who just memorize patterns.

You’re about to learn the three steps you’ll need to confidently analyze any EKG rhythm you’ll ever see, and the three-step process to read a 12-lead electrocardiogram.  But moreover, you’re going to learn the why behind every aspect of it all– down to the cellular and atomic level.  This is the sort of foundation that digs deeper–and lasts longer–than any other approach we’ve ever found.  In fact, it’s the reason we created the course. It took us thirty years to research, three years to write.  And we’ve found that this approach is powerful at empowering clinicians from every level to perform at a high level quickly.  It doesn’t matter how little or much you already know, this workshop will enhance your service to your patients immediately.  

Along the way, we’ll tie electrophysiology to cardiac hemodynamics and diagnostics to heighten your thinking about cardiology.

Who Will Benefit

This experience is adaptable to any audience, including ACLS Paramedics, Emergency and Critical Care Clinicians, Cardiovascular Sonographers, EKG Technicians, and Medical Students/Interns/Residents who want to know both the expedited, mental protocols and the why behind any finding.


This course is conducted independently of any commercial or institutional grant, industry support, or sponsorship.  No faculty members have any commercial interests or participation that might influence its content.  Upon completion of this activity, you should be able to:

  • Discuss the basis and significance of the molecular structure and its connection to the EKG.
  • Describe how the processes of osmosis and diffusion interact with the dynamic cardiac cell membrane to evoke electrical discharge.
  • Relate the momentary changes in ion movement to each stage of EKG wave generation and cardiac cell contraction.
  • Chart the cardiac conduction system and relate it to the flow of electrical activity throughout the cardiac cycle.
  • Locate electrode placement for the standard EKG; describe the perspective view created by the various limb and chest leads and relate each to the normal wave pattern.
  • Quickly determine the electrical axis and identify left/right atrial or ventricular hypertrophy/enlargement.
  • Differentiate right, left, and fascicular bundle branch block.
  • Confidently apply a four-step process to quickly analyze any rhythm disturbance.
  • Classify the various degrees of AV block and discuss their clinical significance.
  • Differentiate ventricular tachycardia from SVT with aberrant conduction and describe the clinical impact of each.
  • Identify and classify the pre-excitation phenomena.
  • Identify normal and abnormal pacemaker function.
  • Recognize and classify conditioning, pharmacologic, and metabolic effects; stratify their clinical significance.

Topics include:

  • The nature of atomic and molecular structure: the basis for all EKG activity.  
  • Molecules and atoms in motion: how diffusion, osmosis, and active transport influence what the EKG sees.
  • The cardiac muscle cell membrane: why and how it anchors the activity of the EKG and cardiac muscle cell contraction. 
  • How–and why–the cardiac conduction system directs electrical flow and how the EKG charts it.
  • The arrhythmias: systematic, rapid, and certain diagnosis.
  • The confident step-by-step method of 12-Lead analysis.
  • Ischemia and injury: how to recognize, differentiate, and localize it.
  • Conduction delays, blocks, and pre-excitation mechanisms.
  • Pacemaker intervention and EKG evaluation.
  • Differentiating common pharmacologic and electrolyte imbalance effects.
  • The effects of athletic conditioning or hypothermia.
  • In-class analysis of select rhythm and 12-lead studies.


This experience is held as a private tutorial for your Group at any site you specify, worldwide.  Its topics can be modified or combined with any part of any of our Hands-On, Interpretive, or Workshop courses.   The total cost is all-inclusive and is based on your designated location, the number of participants, and the length of the training.  For groups of three or more, the cost is likely the same or less than attending individually, and when the cost of lost productivity is factored, it becomes much less.  

Typically, an individual department or group practice requests that the training is held at their site.  Others have actually specified a destination site where their participants could travel to, combining in-depth recreation and learning.  Either type of learning experience is tax-deductible. 


We designate this course a non-CME credit activity, meaning that the curriculum is not defined by the constraints of a fixed format.  This is to your strategic advantage.  Though the content meets and exceeds every academic guideline, we have over many years determined that flexibility in tailoring specific elements—and the delivery to each individual learner’s need and style—supersedes the restraints of a traditionally rigid, time-limited format.  It also permits us to openly, honestly, and independently without bias discuss virtually every manufacturer’s system features.  Too, the broad ranges of clinical professional specialist organizations have developed multiple exclusive brands of applicable CME.  We have chosen instead to focus on your lifelong bedside competence and strategic advantage. This decision has permitted us to make our classes microscopically small at the least tuition cost possible.  We will be delighted to direct you to the most appropriate free and low-cost traditional CME credit activities available online.


We’ve prepared a free library of high-resolution Anatomy Posters and Worksheets for you here.   Be certain to also download a free copy of our Employer/Employee Agreement, where you can gain your Employer’s sponsorship of your travel and education costs in exchange for your commitment over time.

Got a Question?

Give us a call or fill in the form below and we will contact you. We endeavor to answer all inquiries within 24 hours on business days.