PMID- 36434488 OWN - NLM STAT- MEDLINE DCOM- 20221216 LR - 20230126 IS - 1534-6293 (Electronic) IS - 1528-4042 (Print) IS - 1528-4042 (Linking) VI - 22 IP - 12 DP - 2022 Dec TI - Rapid Response EEG: Current State and Future Directions. PG - 839-846 LID - 10.1007/s11910-022-01243-1 [doi] AB - PURPOSE OF REVIEW: To critically appraise the literature on the application, methods, and advances in emergency electroencephalography (EEG). RECENT FINDINGS: The development of rapid EEG (rEEG) technologies and other reduced montage approaches, along with advances in machine learning over the past decade, has increased the rate and access to EEG acquisition. These achievements have made EEG in the emergency setting a practical diagnostic technique for detecting seizures, suspected nonconvulsive status epilepticus (NCSE), altered mental status, stroke, and in the setting of sedation. Growing evidence supports using EEG to expedite medical decision-making in the setting of suspected acute neurological injury. This review covers approaches to acquiring EEG in the emergency setting in the adult and pediatric populations. We also cover the clinical impact of this data, the time associated with emergency EEG, and the costs of acquiring EEG in these settings. Finally, we discuss the advances in artificial intelligence for rapid electrophysiological interpretation. CI - (c) 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Davey, Zachary AU - Davey Z AUID- ORCID: 0000-0003-3673-8587 AD - Department of Neurology, Walter Reed National Military Medical Center, Bethesda, MD, USA. FAU - Gupta, Pranjal Bodh AU - Gupta PB AUID- ORCID: 0000-0003-3315-7971 AD - Department of Emergency Medicine, Stanford Medicine, Palo Alto, CA, USA. FAU - Li, David R AU - Li DR AUID- ORCID: 0000-0001-5221-1334 AD - Department of Emergency Medicine, Stanford Medicine, Palo Alto, CA, USA. FAU - Nayak, Rahul Uday AU - Nayak RU AUID- ORCID: 0000-0003-4114-8565 AD - Department of Emergency Medicine, Stanford Medicine, Palo Alto, CA, USA. FAU - Govindarajan, Prasanthi AU - Govindarajan P AUID- ORCID: 0000-0002-6946-8360 AD - Department of Emergency Medicine, Stanford Medicine, Palo Alto, CA, USA. prashagovindarajan@stanford.edu. LA - eng GR - R01 HS026207/HS/AHRQ HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review DEP - 20221125 PL - United States TA - Curr Neurol Neurosci Rep JT - Current neurology and neuroscience reports JID - 100931790 SB - IM MH - Adult MH - Child MH - Humans MH - Artificial Intelligence MH - Electroencephalography/methods MH - *Status Epilepticus/diagnosis MH - Seizures MH - *Mental Disorders PMC - PMC9702853 OTO - NOTNLM OT - Altered mental status OT - Emergency electroencephalography OT - Nonconvulsive status epilepticus (NCSE) OT - Rapid response EEG OT - Seizure OT - Stroke COIS- Zachary Davey: none. Pranjal Bodh Gupta: none. David R. Li: none. Rahul Nayak: none. Prasanthi Govindarajan: 7/2019-6/2024, Funder: Agency for Healthcare Research and Quality (R01HS026207-04), Title: Effect of Bypass Policies on Stroke Treatment in a National Sample of Medicare Beneficiaries, Role: PI, 7/2022-6/2023, Funder: Centers for Disease Control and Prevention, Title: Respiratory Virus Transmission Network, Role: Co-Investigator. EDAT- 2022/11/27 06:00 MHDA- 2022/12/17 06:00 PMCR- 2022/11/28 CRDT- 2022/11/26 11:40 PHST- 2022/10/10 00:00 [accepted] PHST- 2022/11/27 06:00 [pubmed] PHST- 2022/12/17 06:00 [medline] PHST- 2022/11/26 11:40 [entrez] PHST- 2022/11/28 00:00 [pmc-release] AID - 10.1007/s11910-022-01243-1 [pii] AID - 1243 [pii] AID - 10.1007/s11910-022-01243-1 [doi] PST - ppublish SO - Curr Neurol Neurosci Rep. 2022 Dec;22(12):839-846. doi: 10.1007/s11910-022-01243-1. Epub 2022 Nov 25.