Podcast #389: BRUE

Educational Pearls:   BRUE (Brief Resolved Unexplained Event) replaces what was previously called ALTE BRUE describes an event in a child less than one year of age with one or more of the following: cyanosis or pallor absent, decreased, or irregular breathing decreased or increased tone altered responsiveness These must be sudden, brief, and now resolved and without an alternative explanation after a history and physical exam Low risk patients can be safely discharged with reassurance Low risk criteria must all be present: Age over 60 days old >32 weeks gestational age at birth and adjusted gestational age > 45 weeks) No CPR was performed (by a trained medical professional) First event Duration less than 1 minute of event Patients who satisfy above criteria can be considered low risk and may be discharged after minimal/no workup   References: Tieder JS, Bonkowsky JL, Etzel RA, et al. Clinical Practice Guideline: Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants: Executive Summary. Pediatrics. 2016:137(5):e20160591. Pediatrics. 2016 Aug;138(2). pii: e20161488. doi: 10.1542/peds.2016-1488. PubMed PMID: 27474017.   Summary by Travis Barlock, MS4    |   Edited by Erik Verzemnieks, MD