It is defined as:
“an episode that is frightening to the observer and that is
characterized by some combination of apnea (central or obstructive), color
change (usually cyanotic or pallid, but occasionally erythematous or plethoric)
marked change in muscle tone (usually marked limpness), choking"
ie Apnoea, Looks Different, Tone different, Exhibits unconsciousness
ALTE? That's so 2015. It's now BRUE (brief,resolved,unexplained)https://t.co/qBS9GRcXW7 #FOAMed via @AmerAcadPeds pic.twitter.com/VlHVpjOxSY— Lauren Westafer (@LWestafer) April 25, 2016
If this occurs whilst the child is sleeping, it may be apnoea of infancy. The child may also have insomina, hypersomnia etc. History will be key!
Take a careful history. And if there are no high risk features, the child can probably go home.
ReferencesLearning about high risk features of BRUE and recommended testing during a Sunday AM shift @RushEmergency #FOAMed pic.twitter.com/FhxaMTc7fQ— Michael Gottlieb (@MGottliebMD) November 11, 2018
https://pedemmorsels.com/brue/
http://dontforgetthebubbles.com/brue-is-the-new-black/
http://www.stemlynsblog.org/alte-brue/
http://foamcast.org/2016/05/04/episode-49-the-aap-brue-guidelines/
https://www.ncbi.nlm.nih.gov/pubmed/15499062
https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/central-sleep-apnoea-syndrome-csa
http://sleepeducation.org/sleep-disorders-by-category/sleep-breathing-disorders/infant-sleep-apnea/overview-facts
https://www.rcemlearning.co.uk/foamed/pem-and-ex-prems/
https://www.rcemlearning.co.uk/reference/myocarditis/
https://www.rcemlearning.co.uk/modules/causes-and-management-of-myocarditis/
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