BRUE

Question 1

Define

Answer 1

age <12m.o
Event lasting <1 min in an infant assoc with >1 of:
- Cyanosis/pallor
- absent, decreased/irregular breathing
- marked change in muscular tone
- altered level of responsiveness
Child must be well appearing, returning back to baseline at time of presentation & have no condition to explain

Question 2

Low risk fx

Answer 2

age >60 days
GA >32 wks
Duration <1 min
Only 1 BRUE
No CPR by trained provider
no concerning hx /exam features

Question 3

Ix (not req in low risk BRUE)

Answer 3

ECG - measure QT
BSL

Question 4

DDx

Answer 4

Airway - obstruction, FB, laryngospasm
Cardiac- Congenital cardiac dx
Abdominal - intussusception
Infection - pertussis, sepsis
Metabolic - hypoglycaemia, hypokalaemia
Toxin/drug infection