Improving the ability of ED physicians to identify subclinical/electrographic seizures on EEG after a brief training module

Geetha Chari, Kabir Yadav, Daniel Nishijima, Ahmet Omurtag, Shahriar Zehtabchi

Research output: Contribution to journalArticle

Abstract

Background: Approximately 5% of emergency department (ED) patients with altered mental status (AMS) have non-convulsive seizures (NCS). Patients with NCS should be diagnosed with EEG as soon as possible to initiate antiepileptic treatment. Since ED physicians encounter such patients first in the ED, they should be familiar with general EEG principles as well as the EEG patterns of NCS/NCSE. We evaluated the utility of a brief training module in enhancing the ED physicians' ability to identify seizures on EEG. Methods: This was a randomized controlled trial conducted in three academic institutions. A slide presentation was developed describing the basic principles of EEG including EEG recording techniques, followed by characteristics of normal and abnormal patterns, the goal of which was to familiarize the participants with EEG seizure patterns. We enrolled board-certified emergency medicine physicians into the trial. Subjects were randomized to control or intervention groups. Participants allocated to the intervention group received a self-learning training module and were asked to take a quiz of EEG snapshots after reviewing the presentation, while the control group took the quiz without the training. Results: A total of 30 emergency physicians were enrolled (10 per site, with 15 controls and 15 interventions). Participants were 52% male with median years of practice of 9.5 years (3, 14). The percentage of correct answers in the intervention group (65%, 63% and 75%) was significantly different (p = 0.002) from that of control group (50%, 45% and 60%). Conclusions: A brief self-learning training module improved the ability of emergency physicians in identifying EEG seizure patterns.

Original languageEnglish (US)
Article number11
JournalInternational Journal of Emergency Medicine
Volume12
Issue number1
DOIs
StatePublished - Mar 27 2019

Fingerprint

Aptitude
Partial Epilepsy
Hospital Emergency Service
Electroencephalography
Physicians
Seizures
Emergencies
Learning
Control Groups
Emergency Medicine
Anticonvulsants
Randomized Controlled Trials

Keywords

  • EEG
  • Emergency department
  • Non-convulsive seizures
  • Training

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Improving the ability of ED physicians to identify subclinical/electrographic seizures on EEG after a brief training module. / Chari, Geetha; Yadav, Kabir; Nishijima, Daniel; Omurtag, Ahmet; Zehtabchi, Shahriar.

In: International Journal of Emergency Medicine, Vol. 12, No. 1, 11, 27.03.2019.

Research output: Contribution to journalArticle

@article{045f490286804a8fb37624383f04a115,
title = "Improving the ability of ED physicians to identify subclinical/electrographic seizures on EEG after a brief training module",
abstract = "Background: Approximately 5{\%} of emergency department (ED) patients with altered mental status (AMS) have non-convulsive seizures (NCS). Patients with NCS should be diagnosed with EEG as soon as possible to initiate antiepileptic treatment. Since ED physicians encounter such patients first in the ED, they should be familiar with general EEG principles as well as the EEG patterns of NCS/NCSE. We evaluated the utility of a brief training module in enhancing the ED physicians' ability to identify seizures on EEG. Methods: This was a randomized controlled trial conducted in three academic institutions. A slide presentation was developed describing the basic principles of EEG including EEG recording techniques, followed by characteristics of normal and abnormal patterns, the goal of which was to familiarize the participants with EEG seizure patterns. We enrolled board-certified emergency medicine physicians into the trial. Subjects were randomized to control or intervention groups. Participants allocated to the intervention group received a self-learning training module and were asked to take a quiz of EEG snapshots after reviewing the presentation, while the control group took the quiz without the training. Results: A total of 30 emergency physicians were enrolled (10 per site, with 15 controls and 15 interventions). Participants were 52{\%} male with median years of practice of 9.5 years (3, 14). The percentage of correct answers in the intervention group (65{\%}, 63{\%} and 75{\%}) was significantly different (p = 0.002) from that of control group (50{\%}, 45{\%} and 60{\%}). Conclusions: A brief self-learning training module improved the ability of emergency physicians in identifying EEG seizure patterns.",
keywords = "EEG, Emergency department, Non-convulsive seizures, Training",
author = "Geetha Chari and Kabir Yadav and Daniel Nishijima and Ahmet Omurtag and Shahriar Zehtabchi",
year = "2019",
month = "3",
day = "27",
doi = "10.1186/s12245-019-0228-9",
language = "English (US)",
volume = "12",
journal = "International Journal of Emergency Medicine",
issn = "1865-1372",
publisher = "Springer London",
number = "1",

}

TY - JOUR

T1 - Improving the ability of ED physicians to identify subclinical/electrographic seizures on EEG after a brief training module

AU - Chari, Geetha

AU - Yadav, Kabir

AU - Nishijima, Daniel

AU - Omurtag, Ahmet

AU - Zehtabchi, Shahriar

PY - 2019/3/27

Y1 - 2019/3/27

N2 - Background: Approximately 5% of emergency department (ED) patients with altered mental status (AMS) have non-convulsive seizures (NCS). Patients with NCS should be diagnosed with EEG as soon as possible to initiate antiepileptic treatment. Since ED physicians encounter such patients first in the ED, they should be familiar with general EEG principles as well as the EEG patterns of NCS/NCSE. We evaluated the utility of a brief training module in enhancing the ED physicians' ability to identify seizures on EEG. Methods: This was a randomized controlled trial conducted in three academic institutions. A slide presentation was developed describing the basic principles of EEG including EEG recording techniques, followed by characteristics of normal and abnormal patterns, the goal of which was to familiarize the participants with EEG seizure patterns. We enrolled board-certified emergency medicine physicians into the trial. Subjects were randomized to control or intervention groups. Participants allocated to the intervention group received a self-learning training module and were asked to take a quiz of EEG snapshots after reviewing the presentation, while the control group took the quiz without the training. Results: A total of 30 emergency physicians were enrolled (10 per site, with 15 controls and 15 interventions). Participants were 52% male with median years of practice of 9.5 years (3, 14). The percentage of correct answers in the intervention group (65%, 63% and 75%) was significantly different (p = 0.002) from that of control group (50%, 45% and 60%). Conclusions: A brief self-learning training module improved the ability of emergency physicians in identifying EEG seizure patterns.

AB - Background: Approximately 5% of emergency department (ED) patients with altered mental status (AMS) have non-convulsive seizures (NCS). Patients with NCS should be diagnosed with EEG as soon as possible to initiate antiepileptic treatment. Since ED physicians encounter such patients first in the ED, they should be familiar with general EEG principles as well as the EEG patterns of NCS/NCSE. We evaluated the utility of a brief training module in enhancing the ED physicians' ability to identify seizures on EEG. Methods: This was a randomized controlled trial conducted in three academic institutions. A slide presentation was developed describing the basic principles of EEG including EEG recording techniques, followed by characteristics of normal and abnormal patterns, the goal of which was to familiarize the participants with EEG seizure patterns. We enrolled board-certified emergency medicine physicians into the trial. Subjects were randomized to control or intervention groups. Participants allocated to the intervention group received a self-learning training module and were asked to take a quiz of EEG snapshots after reviewing the presentation, while the control group took the quiz without the training. Results: A total of 30 emergency physicians were enrolled (10 per site, with 15 controls and 15 interventions). Participants were 52% male with median years of practice of 9.5 years (3, 14). The percentage of correct answers in the intervention group (65%, 63% and 75%) was significantly different (p = 0.002) from that of control group (50%, 45% and 60%). Conclusions: A brief self-learning training module improved the ability of emergency physicians in identifying EEG seizure patterns.

KW - EEG

KW - Emergency department

KW - Non-convulsive seizures

KW - Training

UR - http://www.scopus.com/inward/record.url?scp=85063593836&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85063593836&partnerID=8YFLogxK

U2 - 10.1186/s12245-019-0228-9

DO - 10.1186/s12245-019-0228-9

M3 - Article

VL - 12

JO - International Journal of Emergency Medicine

JF - International Journal of Emergency Medicine

SN - 1865-1372

IS - 1

M1 - 11

ER -