Pediatric and Neonatal Emergency Guidelines:
BRUE, Respiratory Distress, and Resuscitation -
Qs & As
Save
Terms in this set (140)
What does BRUE stand Brief Resolved Unexplained Event
for?
What is an alternative Apparent Life-Threatening Event (ALTE)
name for BRUE?
What age group is Infants less than 1 year old
primarily affected by
BRUE?
What are the key patient Recognize symptoms, identify need for escalation of
care goals for BRUE? care, and choose proper transport destination.
An event reported as sudden, brief (less than 1
What are the inclusion
minute), unexplained, and resolved upon EMS arrival,
criteria for a suspected
with symptoms like breathing changes, color changes,
BRUE?
muscle tone changes, or altered responsiveness.
What symptoms might Breathing change, color change, marked change in
indicate a BRUE event? muscle tone, altered level of responsiveness.
Signs of underlying illness, identifiable causes for the
What are some exclusion
event, history concerning for child abuse, and certain
criteria for BRUE?
color changes.
What vital signs should be Pulse, blood pressure, respiratory rate, and
assessed in a BRUE neurologic status.
patient?
,What is the recommended Continuous monitoring including cardiac and pulse
treatment for all patients oximetry.
with possible BRUE?
When should IVs be Only for clinical concerns of shock or to administer IV
placed in suspected BRUE medications.
patients?
What should be done if an They should still be transported for further evaluation.
infant with a history of
BRUE appears well?
What is a key Avoid using terms like BRUE, ALTE, SIDS, or near-miss
consideration regarding SIDS.
terminology when
discussing BRUE with
parents?
What role do EMS They obtain accurate histories and document
clinicians play in BRUE environmental, scene, and social indicators.
cases?
What should be Breathing changes, color changes, muscle tone
documented regarding changes, level of responsiveness, event duration, and
the event in a BRUE case? if it was witnessed.
What is the significance of It may indicate a higher risk for the infant experiencing
a history of sudden BRUE.
unexplained death in
family history?
What should be done if a Contact medical direction, especially if high-risk
parent refuses medical criteria are present.
care for a suspected
BRUE?
What are some concurrent Fever, congestion, cough, vomiting, diarrhea, rash,
symptoms to assess in a labored breathing, irritability, or poor feeding.
BRUE patient?
, What is the importance of It helps to identify any signs of respiratory distress or
a full set of vital signs in other critical conditions.
BRUE assessment?
What should be done for Provide supplemental oxygen and suction excessive
respiratory distress in a secretions as needed.
BRUE patient?
What are the potential They may require emergency department testing,
outcomes for high-risk intervention, and follow-up.
patients with BRUE?
What should be Continuous observations for changes in condition.
monitored during
transport for a BRUE
patient?
What is the recommended They should be treated and transported according to
action for infants who do local guidelines.
not meet the definition of
BRUE?
What factors may indicate Any high-risk criteria present in the patient.
a need for transport to a
facility with pediatric
critical care capability?
What is the role of history- To gather information about the event and any
taking in the assessment of relevant medical background.
a BRUE patient?
What is a Brief Resolved A clinical event in infants that involves a sudden
Unexplained Event change in responsiveness, often resolving quickly
(BRUE)? without a clear cause.
What are the key pre- Event associated with feeding or other activity, history
event circumstances to of prematurity, prior BRUE events, and past medical
document for BRUE? history.
What vital signs should be Full set of vital signs including pulse, blood pressure,
documented after a BRUE respiratory rate, neurologic status, temperature, and
event? O2 saturation.
BRUE, Respiratory Distress, and Resuscitation -
Qs & As
Save
Terms in this set (140)
What does BRUE stand Brief Resolved Unexplained Event
for?
What is an alternative Apparent Life-Threatening Event (ALTE)
name for BRUE?
What age group is Infants less than 1 year old
primarily affected by
BRUE?
What are the key patient Recognize symptoms, identify need for escalation of
care goals for BRUE? care, and choose proper transport destination.
An event reported as sudden, brief (less than 1
What are the inclusion
minute), unexplained, and resolved upon EMS arrival,
criteria for a suspected
with symptoms like breathing changes, color changes,
BRUE?
muscle tone changes, or altered responsiveness.
What symptoms might Breathing change, color change, marked change in
indicate a BRUE event? muscle tone, altered level of responsiveness.
Signs of underlying illness, identifiable causes for the
What are some exclusion
event, history concerning for child abuse, and certain
criteria for BRUE?
color changes.
What vital signs should be Pulse, blood pressure, respiratory rate, and
assessed in a BRUE neurologic status.
patient?
,What is the recommended Continuous monitoring including cardiac and pulse
treatment for all patients oximetry.
with possible BRUE?
When should IVs be Only for clinical concerns of shock or to administer IV
placed in suspected BRUE medications.
patients?
What should be done if an They should still be transported for further evaluation.
infant with a history of
BRUE appears well?
What is a key Avoid using terms like BRUE, ALTE, SIDS, or near-miss
consideration regarding SIDS.
terminology when
discussing BRUE with
parents?
What role do EMS They obtain accurate histories and document
clinicians play in BRUE environmental, scene, and social indicators.
cases?
What should be Breathing changes, color changes, muscle tone
documented regarding changes, level of responsiveness, event duration, and
the event in a BRUE case? if it was witnessed.
What is the significance of It may indicate a higher risk for the infant experiencing
a history of sudden BRUE.
unexplained death in
family history?
What should be done if a Contact medical direction, especially if high-risk
parent refuses medical criteria are present.
care for a suspected
BRUE?
What are some concurrent Fever, congestion, cough, vomiting, diarrhea, rash,
symptoms to assess in a labored breathing, irritability, or poor feeding.
BRUE patient?
, What is the importance of It helps to identify any signs of respiratory distress or
a full set of vital signs in other critical conditions.
BRUE assessment?
What should be done for Provide supplemental oxygen and suction excessive
respiratory distress in a secretions as needed.
BRUE patient?
What are the potential They may require emergency department testing,
outcomes for high-risk intervention, and follow-up.
patients with BRUE?
What should be Continuous observations for changes in condition.
monitored during
transport for a BRUE
patient?
What is the recommended They should be treated and transported according to
action for infants who do local guidelines.
not meet the definition of
BRUE?
What factors may indicate Any high-risk criteria present in the patient.
a need for transport to a
facility with pediatric
critical care capability?
What is the role of history- To gather information about the event and any
taking in the assessment of relevant medical background.
a BRUE patient?
What is a Brief Resolved A clinical event in infants that involves a sudden
Unexplained Event change in responsiveness, often resolving quickly
(BRUE)? without a clear cause.
What are the key pre- Event associated with feeding or other activity, history
event circumstances to of prematurity, prior BRUE events, and past medical
document for BRUE? history.
What vital signs should be Full set of vital signs including pulse, blood pressure,
documented after a BRUE respiratory rate, neurologic status, temperature, and
event? O2 saturation.
