What is a Brue?

A Brief Resolved Unexplained Event (BRUE) happens suddenly and can be scary for parents and caregivers. When a BRUE occurs, babies may seem to stop breathing. Their skin color may change to pale or blue. Their muscles may relax or tighten.

What do I do if my baby has a BRUE?

Is BRUE life threatening?

The event occurs suddenly, lasts less than 30 to 60 seconds, and is frightening to the person caring for the infant. BRUE is present only when there is no explanation for the event after a thorough history and exam. An older name used for these types of events is an apparent life-threatening event (ALTE).

How long does a BRUE last?

A BRUE is a description of a self-limited episode. Usually a BRUE lasts for less than 1 minute. By definition, the episode must have resolved by the time the infant is evaluated by a medical professional. The caregiver may report observation of bluish skin discoloration, called cyanosis.

What is high risk BRUE?

HIGHER-RISK BRUE

There was generally an increased risk from prematurity in infants born at <32 weeks' gestation, and the risk attenuated once infants born at <32 weeks' gestation reached 45 weeks' postconceptional age.

"Approach to Brief Resolved Unexplained Events (BRUE)" by Jonathan Fried and Beth Harper

What is a BRUE episode?

A Brief Resolved Unexplained Event (BRUE) happens suddenly and can be scary for parents and caregivers. When a BRUE occurs, babies may seem to stop breathing. Their skin color may change to pale or blue. Their muscles may relax or tighten.

What percentage of emergency departments does BRUE constitute?

According to a previous report, BRUE account for 0.6%-0.8% of all emergency room visits for infants younger than one year [4]. However, the true prevalence of BRUE is unknown, and it is estimated that 0.5%-0.6% of healthy term infants have experienced BRUE [5].

Can GERD cause BRUE?

Despite evidence in the literature that GERD is not a significant cause for BRUE episodes, more than one-third of patients were placed on acid -suppression therapy during or following the BRUE admission.

What is it called when a baby dies in their sleep?

Sudden infant death syndrome (SIDS) – sometimes known as "cot death" – is the sudden, unexpected and unexplained death of an apparently healthy baby. In the UK, around 200 babies die suddenly and unexpectedly every year.

Is Laryngomalacia serious?

In most cases, laryngomalacia in infants is not a serious condition — they have noisy breathing, but are able to eat and grow. For these infants, laryngomalacia will resolve without surgery by the time they are 18 to 20 months old.

Why is my baby's head floppy?

Children with hypotonia have symptoms where their body resembles a rag doll. Healthcare providers might refer to your baby being “floppy” from their diagnosis. Symptoms of hypotonia include: Your baby is unable to lift their head or control neck muscles.

Why do babies get infantile spasms?

What Causes Infantile Spasms? Infantile spasms can be caused by problems with the way the brain developed in the womb, infections, brain injury, or abnormal blood vessels in the brain (such as an arteriovenous malformations). Infantile spasms also can happen in babies with some types of metabolic and genetic disorders.

What does it mean when a baby goes limp?

Hypotonia is a medical word for low muscle tone. If your baby has it, they will likely feel limp in your arms, like a rag doll. That's why it's also called floppy infant syndrome. Doctors can diagnose the condition in the first few minutes of life.

What is the difference between Suids and SIDS?

These deaths are called SUID (pronounced Soo-id), which stands for “Sudden Unexpected Infant Death.” SUID includes all unexpected deaths: those without a clear cause, such as SIDS, and those from a known cause, such as suffocation. One-half of all SUID cases are SIDS.

Can overfeeding a baby cause death?

On August 28, the parents had found the body of their infant inside the bathroom of their house. The police had sent the body for post-mortem and found that the infant had died due to milk overfeeding, the medical board had too found milk inside her lungs.

What is the oldest SIDS death?

The study population was aged 2 weeks through 2 years of age; 16 deaths occurred among toddlers between the ages of 52 and 103 weeks, that were classified as “definitely” or “probably” SIDS (the investigators used 103 weeks as the upper age limit for SIDS deaths).

What is the number 1 cause of SIDS?

overheating while sleeping. too soft a sleeping surface, with fluffy blankets or toys. mothers who smoke during pregnancy (three times more likely to have a baby with SIDS) exposure to passive smoke from smoking by mothers, fathers, and others in the household doubles a baby's risk of SIDS.

Why do pacifiers reduce SIDS?

Sucking on a pacifier requires forward positioning of the tongue, thus decreasing this risk of oropharyngeal obstruction. The influence of pacifier use on sleep position may also contribute to its apparent protective effect against SIDS.

Is GERD life-threatening in babies?

GERD is one of the causes of acute life-threatening episodes in infants and has been associated with chronic respiratory disorders, including reactive airway disease, recurrent stridor, chronic cough and recurrent pneumonia in infants.

What is ALTE BRUE?

BRUE (brief, resolved, unexplained event) and ALTE (apparent life-threatening event) are not specific disorders but terms for a group of alarming symptoms that can occur in infants. They involve the sudden appearance of respiratory symptoms (eg, apnea), change in color or muscle tone, and/or altered responsiveness.

What is an unexplainable event called?

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].

What is the most common ER visit?

What percent of ED visits are unnecessary?

About 30% of emergency department visits among patients with common chronic conditions are potentially unnecessary, leading to $8.3 billion in additional costs for the industry, according to a new analysis.

What are some likely reasons that teenagers could end up needing to visit the emergency room?

Why is my baby gasping for air in sleep?

Symptoms of sleep apnea vary from child to child. Loud snoring, which may be followed by pauses in breathing or gasping for air, is the most common symptom.