Acute events in infancy including brief resolved unexplained event ...

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Acute events in infancy are unexpected changes in breathing, appearance, or behavior reported by caregivers. They may be brief resolved unexplained events (BRUE) or other conditions. Learn how to diagnose and manage them.
Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening ...
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This is the first clinical practice guideline from the American Academy of Pediatrics that specifically applies to patients who have experienced an apparent life-threatening event (ALTE). This clinical practice guideline has 3 objectives. First, it recommends the replacement of the term ALTE with a new term, brief resolved unexplained event (BRUE). Second, it provides an approach to patient evaluation that is based on the risk that the infant will have a repeat event or has a serious ...
Brief Resolved Unexplained Event or BRUE (ALTE guideline update)
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This guideline has been developed for the evaluation, risk stratification, investigation and management of patients presenting to hospital with a brief resolved unexplained event (BRUE). This guideline is intended to replace the previous guidance on Apparent life-threatening events (ALTE), due to updated evidence and reclassification of such ...
Brief Resolved Unexplained Event - StatPearls - NCBI Bookshelf
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The American Academy of Pediatrics published a clinical practice guideline in 2016 recommending replacing the term apparent life-threatening event (ALTE) with a new term named brief resolved unexplained event (BRUE)[1][2]. An apparent life-threatening event was defined as any event that was frightening to the observer and consisted of a combination of apnea, color change, muscle tone change, and choking, or gagging. An apparent life-threatening event[3], which itself replaced the term near ...
Approach to Apnoea and Acute Events in Infancy / Brief Resolved ...
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(Apparent Life Threatening Event) was used as an “umbrella” descriptive term for a change in breathing, tone, colour or altered level of consciousness. Causes include: ... lead to an acute event in healthy infants and usually is benign. The likely mechanism is immature reflex (laryngospasm). - discharge by paediatric middle-grade or above - give ACORN leaflet + ACORN review
Brief Resolved Unexplained Events (BRUE): Clinical Practice Guideline
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Introduction. The American Academy of Pediatrics (AAP) published a new clinical practice guideline advocating for the replacement of the term Acute Life-Threatening Events (ALTE) with BRUE (brief, resolved, unexplained event) in May 2016.1 ALTE was first introduced in 1986 replacing the term “near-miss sudden infant death syndrome”. 2 ...
Brief, Resolved, Unexplained Event (BRUE) - The Merck Manuals
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Previously, doctors used the term "ALTE" (apparent life-threatening event) to classify all events where infants suddenly developed alarming symptoms regardless of whether an underlying cause was ultimately found. Currently, if there is no underlying cause, doctors refer to the event as a BRUE (brief, resolved, unexplained event). BRUE is a term that describes only episodes that occur in children under 1 year of age:
Apparent life-threatening event in infancy - PMC - National Center for ...
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An apparent life-threatening event (ALTE) is defined as the combination of clinical presentations such as apnea, marked change in skin and muscle tone, gagging, or choking. It is a frightening event, and it predominantly occurs during infancy at a mean age of 1–3 months. The causes of ALTE are categorized into problems that are ...
Brief resolved unexplained events (formerly apparent life-threatening ...
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The American Academy of Paediatrics has issued a guideline on brief resolved unexplained events (BRUEs), formerly known as acute life-threatening events (ALTEs). BRUEs are episodes of apnoea, colour change, muscle tone change or gagging in infants under 1 year.
Brief resolved unexplained event - PMC - National Center for ...
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A near-death experience of an infant is a life-changing experience for parents. 1 An apparent life-threatening event (ALTE) is a constellation of unexpected events that are frightening to the observer. 2 In 80% to 90% of situations, the infant is free of symptoms on arrival to the hospital. 3 Apparent life-threatening events account for approximately 0.6% to 1.7% of all emergency department (ED) visits for infants younger than 1 year of age, with a median age of 1 to 3 months. 1, 4 Before ...
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Clinical Practice Guidelines : Brief Resolved Unexplained Event BRUE
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The term Apparent Life Threatening Event (ALTE) has been replaced by BRUE A BRUE refers to an episode in an infant less than 12 months old which is: ... If the infant requires ongoing acute treatment, the event is not considered to be a BRUE. It should be acknowledged with the family that these events are highly anxiety provoking and parents often feel that their child has nearly died.
Brief Resolved Unexplained Events (Apparent Life-Threatening Events ...
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The apparent life-threatening event cohort also included more female infants and fewer infants who were small for gestational age and who had low birth weight when compared with infants who experienced SIDS in other studies. The risk of subsequent death in the apparent life-threatening event group was 0.6%. ... Taketani T, Fukuda S, et al. Metabolic disease in 10 patients with sudden unexpected death in infancy or acute life-threatening events. Pediatr Int. 2015 Jun. 57 (3):348-53. [QxMD ...
147 Brief resolved unexplained event (BRUE) - Archives of Disease in ...
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Objectives American Academy of Pediatrics (AAP) guidelines (2016)1 redefined ALTE (Acute Life Threatening Event) as BRUE (Brief Resolved Unexplained Event), with separate management pathways2 for high-risk and low-risk categories of patients. Although the term BRUE is used in the UK, there is no national BRUE guideline. The Partners in Paediatrics (PiP) handbook (2022–24 edition)3 includes a BRUE guideline aligned with AAP recommendations, which can be accessed by hospitals in West ...
Joint Trust Guideline for the Management of Brief Resolved Unexplained ...
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These events were previously known as ALTEs (apparent life threatening events), but since a comprehensive statement by the American Academy of Paediatrics in 2016 they have been known internationally as BRUEs; to better characterise these events and ensure the most appropriate management pathways. By defining a BRUE and applying evidence based risk stratification we can
Apparent Life Threatening Event - an overview - ScienceDirect
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Sudden Infant Death Syndrome and Acute Life-Threatening Events. James S. Kemp MD, Bradley T. Thach MD, in Kendig's Disorders of the Respiratory Tract in Children ... An apparent life-threatening event is defined as “an episode that is frightening to the observer” and has one or more of the following characteristics: (1) apnea, usually central (less commonly obstructive); (2) color change, usually to blue or pale (less often to red and plethoric); (3) sudden limpness; (4) choking or gagging.
ALERT course (Acute Life threatening Events—Recognition and Treatment ...
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Credit: JANHALASKA/ALAMY FURTHER INFORMATION The ALERT course was designed to cater for all types of healthcare professionals, including medical students, doctors, nurses, paramedics, and resuscitation trainers. It is aimed at foundation year 1 (F1) doctors. The course is designed to teach healthcare staff to anticipate, recognise, and improve the quality of care for critically ill patients on general wards who may require subsequent admission to a critical care facility. Being the ...
Causes of apparent life threatening events in infants: a systematic ...
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Aims: To determine the most likely diagnoses when infants first present with an apparent life threatening event (ALTE). Methods: Medline (1966–2002), Embase (1980–2002), and Cinahl (1982–2002) were searched. Primary authors and content experts were contacted to identify further studies. Bibliographies from studies, reviews, and textbooks were searched. Foreign language studies were translated. Articles were included if the ALTE was clearly defined and if the evaluation recorded was ...
Evaluation and Management of Apparent Life-Threatening Events in ... - AAFP
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Am Fam Physician. 2005;71 (12):2301-2308. Apparent life-threatening event syndrome predominantly affects children younger than one year. This syndrome is characterized by a frightening ...
Acute life threatening event (ALTE) in an infant with human coronavirus ...
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Abstract. In this short report we discuss the temporal association between an acute life threatening event (ALTE) and a RT‐PCR confirmed coronavirus HCoV‐229E infection in a 4 months old otherwise healthy infant. More detailed microbiological investigations of affected children even without apparent signs of a respiratory tract infection ...
Surgical management of acute life-threatening events affecting ...
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Following surgical correction, many patients with esophageal atresia with or without tracheoesophageal fistula (EA/TEF) present to the emergency department (ED) with acute airway complications. We sought to determine the incidence and risk factors for severe acute life-threatening events (ALTEs) in pediatric patients with repaired congenital EA/TEF and the outcomes of operative interventions.

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