Objective:
Our objectives for this project were (1) to outline an algorithm for management of SE in adults for the University of Mississippi Medical Center (UMMC), (2) to administer a classroom style presentation with videos of seizures and a treatment algorithm to educate EM residents on diagnosis and management of SE, and (3) to gauge the effectiveness of the education with pre- and post-educational assessments.
Background:
Status epilepticus (SE) is a neurological emergency with a high rate of mortality. Prompt diagnosis and treatment is of utmost importance in management. Emergency Medicine (EM) providers should be confident in treating SE.
Design/Methods:
27 post-graduate year 1-3 EM residents were enrolled as participants.
Pre-education assessment included 6 knowledge based multiple choice quiz questions on management of SE, and 5-point Likert scale questionnaires on confidence in managing SE. Post-education assessment included 6 knowledge based multiple choice questions assessing the same concepts as pre-education assessment with different vignettes, and 5-point Likert scale questions assessing the effectiveness of the format of this session and the response on expected impact of the participants’ clinical practice.
Two sample t-test was used to compare pre- and post-education quiz answers
Results:
There was a significant improvement in results with more correct answers post-education (p < 0.0001). Post-education assessment 5-point Likert scale scores (1- strongly disagree to 5- strongly agree) were 4.58 (confidence in SE management), 4.35 (effectiveness of lecture), 4.65 (impact on clinical practice).
Conclusions:
Fast and effective treatment of SE is vital to improve morbidity and mortality in patients with seizures. The results of this study lead to development of laminated pocket-sized SE algorithm cards for the Neurology and EM residents.
Disclaimer: Abstracts were not reviewed by Neurology® and do not reflect the views of Neurology® editors or staff.