Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: The New Wave: Time to bring EEG to the Emergency Department | Abdel Baki et al. International Journal of Emergency Medicine 2011 4 36 http content 4 1 36 o International Journal of Emergency Medicine a SpringerOpen Journal REVIEW Open Access The New Wave Time to bring EEG to the Emergency Department Samah G Abdel Baki1 2 Ahmet Omurtag1 André A Fenton1 3 4 and Shahriar Zehtabchi2 Abstract Emergency electroencephalography EEG is indicated in the diagnosis and management of non-convulsive status epilepticus NCSE underlying an alteration in the level of consciousness. NCSE is a frequent treatable and underdiagnosed entity that can result in neurological injury. This justifies the need for EEG availability in the emergency department ED . There is now emerging evidence for the potential benefits of EEG monitoring in various acute conditions commonly encountered in the ED including convulsive status after treatment breakthrough seizures in chronic epilepsy patients who are otherwise controlled acute head trauma and pseudo seizures. However attempts to allow for routine EEG monitoring in the ED face numerous obstacles. The main hurdles to an optimized use of EEG in the ED are lack of space the high cost of EEG machines difficulty of finding time as well as the expertise needed to apply electrodes use the machines and interpret the recordings. We reviewed the necessity for EEGs in the ED and to meet the need we envision a product that is comprised of an inexpensive single-use kit used to wirelessly collect and send EEG data to a local and or remote neurologist and obtain an interpretation for managing an ED patient. Introduction Abundant literature has been accumulated during the last decade to characterize a well-defined routine use of EEG in emergency departments EDs 1 . Routine use of EEGs in acute settings may advance patient care in certain neurological scenarios such as acute alteration of mental status AMS and severe traumatic brain injury sTBI 2-5 . In such clinical scenarios access to cerebral function is .
