The CFM readout offers an integrated trace in one pane and a non-integrated trace in another pane (see image). Modern machines give a readout for each hemisphere corresponding to the positions of electrodes placed on the patient's head. The characteristics of the CFM include the 'baseline' which should be more than 5 μV, the upper limit of the trace which should be more than 10 μV, and the presence of 'sleep wake cycling' whereby the trace is expected to narrow and broaden over time. Seizures appear on the trace as regions of high activity with a raised and compacted trace in the aEEG pane; this would correspond to high-amplitude, repetitive waveforms in the non-integrated pane. A low-amplitude or 'suppressed' trace is prognostically concerning as it indicates abnormally low brain activity. A further possible pattern is a 'burst suppression' trace which consists of a low-amplitude signal interspersed with periods of high activity on the aEEG readout. This also carries a poor prognosis.2
Maynard D, Prior P, Scott D. Device for continuous monitoring of cerebral activity in resuscitated patients. Br Med J. 1969 Nov 29;4(5682):545-6. PMID 5354856 [1] /wiki/PMID_(identifier) ↩
Azzopardi D. TOBY Cerebral Function Monitoring: Addition to CFM handbook for users of the Olympic CFM 6000. Imperial College London, 2004. ↩