BRUE * Definition of BRUE. * Diagnostic Criteria. * Differential diagnosis. * Approach & Managment.

1. Pedi
a
tric Resident
BriefResolvedUnexplained
Event
Turki M. Al
a
n
a
zi

2. Objectives
* Definition of BRUE.
* Diagnostic Criteria.
* Differential diagnosis.
* Approach & Managment.

3. Introductions
An event occurring in an infant < 1 year of age when the observer reports a sudden, brief, and now
resolved episode of ≥ 1 of the following:
cyanosis or pallor
Aabsent, decreased, or irregular
breathing
Marked change in tone (hyper- or hypotonia)
Altered level of responsiveness
Wh
a
t is BRUE?

4. History
1.Before the event
2.During the event
3.After the event
Make sure you ask about what happened

5. What Happened Before the
Event ;
• What the infant was doing
before the event – Were they
sleeping or awake?
• Where they were?
• Whether they were
behaving normally?
• Timing in relation to a feed?
• What made the observer
check on the baby?
Details of What Happened
During the Event;
• Level of consciousness
• Breathing efforts
• Colour
• Muscle tone
• Limb and eye movement
• Where it occurred
• How long it lasted

6. Details of What Happened After the event
•Whether the infant required intervention ?
* Type of measure ;
- gentle or vigorous stimulation.
- Mouth to mouth resuscitation.
- chest compression.
* How long was it performed ?
* How long before the infant return to
baseline ?

12. Summary