eegCap Application in Paediatrics wiTh redUced GCS in REsus

University College Cork20 enrolled

Overview

Children frequently present with altered or reduced consciousness levels to emergency departments. By using EEG monitoring, subclinical seizure activity may be detected, leading to earlier pharmacological intervention and improved outcomes. Post-ictal phases that may be interpreted as seizure activity may become less over-treated. A feasibility study will ascertain if EEG monitoring can be applied successfully in this cohort, within a specified time period, obtaining minimum artefact (defined as \< 25% artefact). EEG recordings will not be used to guide clinical management during this feasibility study.

See study protocol attached

Study Type

OBSERVATIONAL

Enrollment

Conditions

Status Epilepticus Altered Level of Consciousness Non-epileptic Seizures Epilepsy Encephalopathy

Eligibility

Sex: ALLMin age: 0 MonthsMax age: 176 Months

Medical Language ↔ Plain English

Inclusion Criteria: Children between 0 and 15 years and 11 months who present to Resuscitation Room, ED, CUH with a Glasgow Coma Scale (GCS) \< 11 or, a reduction in baseline GCS in the case of children with significant neurodisability at baseline Exclusion Criteria: * Polytrauma * Open head wounds * Unstable airway or requirement for bag and mask ventilation, where cap application would affect clinical management

Outcomes

Primary Outcomes

The percentage of children who had EEG monitoring applied within twenty minutes and obtainment of an interpretable EEG recording with less than 25% artefact.

Time frame: Anticipated 12 month study period