BRUE is the new ALTE
#1
http://www.jwatch.org/na41150/2016/04/25/brue-new-alte
http://pediatrics.aappublications.org/co.../e20160590

Definition of BRUE:
--Event lasting <1 minute in an infant <1 year of age that is associated with at least one of the following: cyanosis or pallor; absent, decreased, or irregular breathing; marked change in muscle tone (hypertonia or hypotonia); altered level of responsiveness.

--Patient must otherwise be well-appearing and back to baseline health at the time of presentation, and, on evaluation, have no condition that could explain the event.

Low Risk Criteria:
--Age >60 days
--Gestational age ≥32 weeks and post-conceptional age ≥45 weeks
--First BRUE
--No CPR by trained provider
--No features in the history of concern (e.g., possible child abuse, family history of sudden unexplained death, toxic exposures)
--No worrisome physical exam findings (e.g., bruising, cardiac murmurs, organomegaly).
"They that are whole have no need of the physician, but they that are sick" -  Jesus of Nazareth
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