Abstract Details

Title Implementing ��ɫ�� Guidelines to Close the Gap in Status Epilepticus Management in the Emergency Room

Topic Epilepsy/Clinical Neurophysiology (EEG)

Presentation(s) P2 - Poster Session 2 (11:45 AM-12:45 PM)

Poster/Presentation
Number 10-005

Objective To evaluate the discrepancy between knowledge of AAN guidelines for status epilepticus and their implementation among ER physicians and to determine the effectiveness of focused educational interventions and performance metrics in improving guideline adherence.

Background Effective management of status epilepticus is critical for patient outcomes, and while ER physicians are often well-versed in the ��ɫ�� (AAN) guidelines, consistent application in clinical practice is lacking. Addressing this gap is essential for enhancing care quality and patient safety.

Design/Methods In this study conducted at a high-volume emergency department, phase one involved assessing ER physicians' familiarity with and application of AAN guidelines for status epilepticus. An intervention program, comprising targeted education sessions and the introduction of adherence metrics via focused power plan in the EMR, was then implemented. Data on compliance, treatment times, and patient outcomes were collected pre- and post-intervention.

Results The preliminary analysis highlighted a significant gap between the physicians' knowledge of the AAN guidelines and their practical application during status epilepticus incidents. 82% of ER physicians had knowledge regarding identification and management of status epilepticus in theory. Pre and post intervention program revealed improvement of total lorazepam usage 3mg vs 6.4mg, decreased time in between abortive medications 65 minutes vs 22 minutes, and improved percentage of using first medication as abortive 35% vs 71% of the time, respectively.

Conclusions The study demonstrates a prevalent gap between knowledge and implementation of the AAN guidelines for status epilepticus in the emergency room setting. It confirms that structured educational programs and the establishment of clear metrics are effective in enhancing guideline adherence, which is pivotal for improving patient care in emergency scenarios.

Authors/Disclosures
Paul Partyka, DO, PhD (Nuvance Health) PRESENTER	Dr. Partyka has nothing to disclose.
Monika Mikolajczak, MD	Dr. Mikolajczak has nothing to disclose.
Beth Falder	Ms. Falder has nothing to disclose.
Marco Propersi, DO	Dr. Propersi has nothing to disclose.
Paul Wright, MD, FAAN (Amwright Consulting LLC)	Dr. Wright has nothing to disclose.

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