I recently missed a golden opportunity last week to see a surgery department grand rounds presentation on the simplified EEG procedure to screen for delirium, presented by colleagues Dr. Gen Shinozaki and Dr. John Cromwell. It was scheduled at 7:15 a.m., a bit early for me. They’re moving the field of delirium detection forward in a major way, although I still have the caveats I mentioned in two previous posts about this important issue, one of them “CPCP: Detecting Delirium Using EEG: Presentation by Medical Students,” on January 27, 2016 and the other one was “Delirium and the EEG Revisited: Blog Post by Medical Student Terrence Wong,” on April 14, 2016, both of which were interesting and very well done.
I still don’t have a reply from the American Delirium Society about their opinion of Point-of-Care EEG for early detection of delirium.
However, I found an encouraging abstract of a small study done by University of Iowa Hospitals and Clinics researchers, which included medical student Terrence Wong as well as other talented UIHC health care professionals (Shinozaki, E; Chan, A; Yuki, K; Gaul, L; Heinzman, J; Sparr, N; Robles, J; Coon, N; Chronis, T; Yang, SC; Ando, T; Wong, T; Karam, M; Noiseux, N; Cromwell, JW; Shinozaki, G . DELIRIUM DETECTION BY A SIMPLIFIED EEG DEVICE IN GENERAL MEDICINE HOSPITALIST SERVICE AND ORTHOPEDIC SERVICE [abstract]. Journal of Hospital Medicine. 2017; 12 (suppl 2). http://www.shmabstracts.com/abstract/delirium-detection-by-a-simplified-eeg-device-in-general-medicine-hospitalist-service-and-orthopedic-service/. Accessed December 18, 2017.)
Dr. Shinozaki also gave a presentation about this at the November 2017 Academy of Psychosomatic Medicine (APM) meeting in Palm Springs, CA. You can read another of his summaries about the Point-of-Care EEG on his laboratory web page.
By the way, I’d like to point out that the Academy of Psychosomatic Medicine will officially become the Academy of Consultation-Liaison Psychiatry (ACLP) on April 16, 2018, in accordance with the subspecialty’s name change from Psychosomatic Medicine to Consultation-Liaison Psychiatry as approved by the American Board of Medical Specialities at the endorsement of the American Board of Psychiatry and Neurology.
Anyway, I’ll be eager to see the progress of integration of the Point-of-Care EEG into the clinical work-flow.