Cardiac Module
Program Description
The S.T.A.B.L.E. - Cardiac Module provides general guidelines for the assessment and stabilization of neonates with suspected congenital heart disease (CHD). Prompt, effective, and appropriate care of neonates with severe CHD can reduce secondary organ damage, improve short and long-term outcomes, and reduce morbidity and mortality. This information is presented in a highly visual format and divided into three sections. The first section of the module reviews the physical exam of neonates with suspected CHD. The second section details the anatomic features, clinical presentation and initial stabilization of neonates with CHD, and emphasizes differentiation of cardiac from pulmonary disease. Specific heart lesions are covered in detail including those that are cyanotic ductal dependent, cyanotic not-ductal dependent, and left outflow tract obstructed ductal dependent lesions. The final section discusses modifications to the six S.T.A.B.L.E. assessment components that are necessary when caring for neonates with suspected or confirmed CHD.

Upcoming Cardiac Module Courses
Cardiac Module Outline
Program Availability

Program availability

Order Program Components Online

S.T.A.B.L.E. – Cardiac Student Handbook

Recognition and Stabilization of neonates with severe CHD

By Kristine A. Karlsen MSN, RNC, NNP and cardiology consultant Lloyd Y. Tani, MD

124 full-color pages.

1-14 copies $36.95 each (plus shipping)

15 or more copies $34.95 each (plus shipping)

S.T.A.B.L.E. – Cardiac CD-ROM
 
Basic information about the slide presentation.
The CD ROM contains the slide presentation in both PowerPoint 2000 and PowerPoint XP, so that you may view the program that matches the version of PowerPoint on your computer.  

CD 1 (regular version) and CD 2 (intranet version) are packaged using SecurePack software. If you have PowerPoint 2000 or XP loaded on your computer or intranet, then this program can be viewed just as if opening a PowerPoint presentation.  This software will not work on a Macintosh computer.  To navigate within the program, use the right click mouse button or use page up and page down.  To exit the program, press escape.  See intranet instructions for more details on using SecurePack.

Q: I want to be able to show my slide presentation on CHD and insert your cardiac slides into my program. Is this possible?

A: No, however, you can toggle between the Cardiac slide show and your own presentation by following these simple steps:

  1. Insert S.T.A.B.L.E. - Cardiac Module CD ROM and open CD to view folders.
  2. Open the folder of interest (either the whole slide show in which case you can press the slide number you want to go to and the program jumps to that slide, or the lesion folder if you are using the intranet version).
  3. Click on the presentation and allow SecurePack to launch that slide show (remember do not have PowerPoint running yet).
  4. Once slide show is on the screen, press the 'window/start' key on the keyboard (usually bottom left side of your keyboard. It may have the little Windows logo on it).
  5. This will make your start menu appear.
  6. Go to Programs.
  7. Open PowerPoint and your slide show.
  8. To toggle back to the Cardiac module, hold down ALT and press TAB until you go to the module, then release these keys and you are there.
  9. To toggle back to your slide show, hold down ALT and press TAB again until you get to your slide show. You can open other slide shows from the PowerPoint program if you wish to do this.
  10. When in the S.T.A.B.L.E. - Cardiac slide show, using the right mouse key allows you to access slide navigator or the GO TO (slide) options. You can also type in "84" for example, and go to slide 84. If you write down these numbers, you can go back and forth pretty easily between your show and the S.T.A.B.L.E. - Cardiac CD ROM. 

 
Specifics about the slide presentation.
CD-ROM – Regular version $295.00
CD-ROM – Intranet version $395.00–unlimited use of the slide presentation and the subfolders from any computer or workstation on the hospital intranet. This CD is not licensed for posting on an internet web site.


CD-ROM – Regular version
$295.00

This CD contains the full slide program (169 slides).

CD-ROM – Intranet version
$395.00

This CD contains the complete slide presentation (169 slides) plus additional folders with the cardiac lesions discussed in the program.

Contents of CD 2 -Intranet version

 Folder called Complete Slide Show:
(Full slide presentation of approximately 169 slides in PowerPoint 2000)

Additional folder called Individual Lesions:

Folder names:
Tetralogy of Fallot
 Truncus Arteriosus
 TAPVR
Ebstein’s anomaly
Transposition of great arteries
Tricuspid atresia
Pulmonary atresia and Tetralogy with pulmonary atresia
Left Outflow Tract Obstructive Lesions (contains):

Coarctation of aorta
Critical aortic stenosis
Interrupted aortic arch
Hypoplastic left heart syndrome

Pre and Post ductal saturation
Normal Heart
 

 

Upcoming Cardiac Module Courses

S.T.A.B.L.E. - Cardiac Module
Recognition and stabilization of neonates with severe congenital heart disease.

Akron, Ohio
Thursday, July 10, 2008
0800-1300
Dr. Howard Stein
Neonatologist & Pediatric Cardiologist
S.T.A.B.L.E. National Faculty
Akron Children's Hospital
Akron, Ohio
Course fee: $75.00 includes manual, parking, CNE's, breakfast w/breaks
Register by June 26, 2008
Contact: Kim Firestone BS, RRT
   330.543.8975
   kfirestone@chmca.org

July 2008 - Banff, Canada
The S.T.A.B.L.E. Program – Cardiac Module will be taught in conjunction with the “American Academy of Pediatrics - 33rd Annual District VIII Conference - The Golden Hour” at the Fairmont Chateau Lake Louise Hotel.
For conference registration and hotel information please go to: www.signup4.com/District82008

San Antonio, Texas Friday, October 24, 2008
0800-12:00
Dr. Howard Stein
Neonatologist & Pediatric Cardiologist & S.T.A.B.L.E. National Faculty
Course fee: $140.00 includes cardiac manual, Continuing Education hours, breakfast and breaks
Register by: September 26, 2008
Contact: CME Department, Baptist Health System
   210-297-8632 slmullen@baptisthealthsystem.com
The S.T.A.B.L.E. Program – Cardiac Module will be taught in conjunction with the "Not-So-Scary Newborn: Tricks and Treats of Newborn Care" conference to be held at the Marriott Northwest Hotel from October 24-25, 2008. Download Conference Flyer (PDF)

Cardiac Module Outline
(Commonly asked Questions and Answers followed by the outline)

Q: Who should take this module?
A: Any neonatal or pediatric healthcare provider (physicians, nurses, respiratory therapists) who must identify and care for neonates or infants with congenital heart disease.

Q: Should the S.T.A.B.L.E. Learner course be taken first?
A: Although it is recommended that students take the learner course prior to this module, it is not mandatory. We recognize that many pediatric healthcare providers may not have participated in the S.T.A.B.L.E. learner program, yet our expert reviewers felt this module would still be very valuable for them.

Q: How is the module presented?
A: As with the S.T.A.B.L.E. Learner course, it is recommended that an expert in neonatal or pediatric (cardiac) care present this material. An animated CD-ROM guides the instructor through the material, while the 125-page full-color manual serves as the student handbook. Some of the material overlaps with the S.T.A.B.L.E. learner course, therefore, it may be best to wait a few months before teaching the cardiac module. This module is not intended for "same day" presentation with the S.T.A.B.L.E. Learner course.

Q: How long does it take to teach the module?
A: This didactic/interactive module is presented in 4 to 8 hours, depending on the student’s expertise. If given in 4 hours, allow 1 hour for the Part 1 - Physical Exam; 2 to 2.5 hours for Part 2 - CHD lesions; and 0.5 to 1 hour for Part 3 - S.T.A.B.L.E. modifications. It is strongly recommended that students read the manual prior to the course.

Q: Do I need to attend a roll-out course in order to teach this module?
A: No. The most important consideration is that you are an expert in this area. If you are comfortable with teaching concepts of neonatal congenital heart disease, this module should be relatively easy for you to teach. There is no instructor manual for this module.

Course Objectives
In completing this module, the learner will gain an increased understanding of the following concepts:

  1. The physical assessment and differential diagnosis of neonates with suspected congenital heart disease (CHD);
  2. The anatomic features, clinical presentation, and initial stabilization of neonates with CHD.
  3. The modifications in the S.T.A.B.L.E. guidelines that are necessary when caring for neonates with CHD.

Course Outline
PART ONE

  1. Physical examination and patient assessment for CHD (includes treatment of SVT, assessment of heart sounds and murmurs);
  2. Differential diagnosis for CHD.

PART TWO

  1. Cyanotic CHD – Not ductal dependent
    Tetralogy of Fallot*
    Truncus arteriosus
    Total anomalous pulmonary venous return (TAPVR)
    Ebstein’s anomaly*
        *Extreme forms may be ductal dependent
  2. Cyanotic CHD – ductal dependent for pulmonary blood flow
    The ductus arteriosus – right-to-left and left-to-right shunting
    Prostaglandin E1     - Indications, Dose, Side Effects, Administration Guideline
    Transposition of the great arteries (TGA)
    Tricuspid atresia
    Pulmonary atresia (w/intact ventricular septum)
    Tetralogy with severe PS or atresia
    Severe Ebstein’s
  3. Left Outflow Tract Obstructive Lesions - ductal-dependent for systemic blood flow
    Coarctation of the aorta
    Critical aortic stenosis
    Interrupted aortic arch
    Hypoplastic left heart syndrome

PART THREE

  1. Sugar - Temperature - Airway – Blood Pressure - Lab Work - Emotional Support
    Mnemonic-based assessment and care