Norah Kairys, MD
"The Utility of Immediate Qualitative EEG Evaluation in the Emergency Department"
SAEMF/RAMS Resident Research Grant
The goal of this study is to determine how accurately an Emergency Medicine Physician is able to determine if a patient is in NCSE based off of their Ceribell device interpretation when compared to a goal-standard board-certified Epileptologist EEG interpretation. We hypothesize that the Ceribell EEG will allow emergency physicians to accurately determine which patients are in NCSE and that this will minimize treatment delay for these patients and improve patient outcomes as a result. We suspect that a significant number of patients deemed as post-ictal after clinical cessation of seizure activity are actually in NCSE. Determining the prevalence of this within our patient population will help to reinforce the need for immediate Emergency Department EEG in all patients who present with prolonged post-ictal states after seizure activity.
To determine this, we will recruit eligible patients as a convenience sample in the Emergency Department at Temple University Hospital. Our research team will be trained on how to apply the device in order to record real-time EEG information. Our trained Emergency Medicine physicians will interpret the audio function from the Ceribell device in real-time in order to distinguish seizure versus no seizure activity. This will be compared with our gold-standard formal EEG interpretation of the tracing recorded and stored from the Ceribell device by a board-certified Epileptologist from the Department of Neurology at Temple University Hospital. We aim to use simple descriptive statistics including the sensitivity and specificity of the Emergency Medicine Physician interpretation when compared to our gold-standard Epileptologist.
Dr. Kairys is still completing the project.