Imagine you are the supervisor of a team of 3 medical records specialists at busy local hospital. As part of their jobs, each medical records specialist audits another’s work to….
A 46-year-old male was found down and intubated at the scene. He was taken to the nearest facility, and the patient was too unstable to get head imaging.
A 46-year-old male was found down and intubated at the scene. He was taken to the nearest facility, and the patient was too unstable to get head imaging. Continuous video-EEG monitoring was started. From top to bottom: fast Fourier transform (FFT) of left hemisphere, FFT of right hemisphere, amplitude-integrated EEG (aEEG), and peak envelope trend. Color bar indicates the power, black being the lowest and white being the highest. What is the correct interpretation of the following quantitative EEG (qEEG) panels at the blue vertical line just past time marker 17:26?
A. The increase in the peak envelope trend correlates with bihemispheric asymmetry, right more than left, indicating relative ischemia
B. The increase in the fast Fourier transform (FFT) spectrogram indicates that there is increasing higher power at the higher frequencies, indicating a state change from sleep to wakefulness
C. The deflection of the amplitude-integrated EEG (aEEG) is most likely indicative of a burst of activity in the background of relative suppression
D. The color spectrogram indicates that the activity, in this case likely a seizure discharge, is involving the right hemisphere more than the left hemisphere