children s health issues
Brief, Resolved, Unexplained Event (BRUE)
Diagnosis of BRUE
A doctor's evaluation Other testing based on the results of the evaluation When a BRUE occurs, the doctor asks several key questions: What was observed by the caregiver who witnessed the event (including a description of changes in breathing, color, muscle tone, and eyes, noises made, length of the episode, and symptoms that occurred before the event)? What interventions were taken (such as gentle stimulation, mouth-to-mouth breathing, or cardiopulmonary resuscitation [CPR])? Did the mother take medications or use recreational drugs while pregnant? Do members of the family currently use drugs, tobacco, and alcohol? What was the child's Gestational Age (length of time spent in the uterus after the egg was fertilized)? Were there any complications at birth? Did the infant remain hospitalized after birth for While feeding, does the child gag, cough, or vomit? Has poor weight gain been an issue? Has the child reached all Developmental Milestones From Birth to Age 12 Months* ? Has the child had a BRUE before or had a recent injury? Have there been any other similar events in the family or early death? The doctor does a physical examination to check for obvious abnormalities, particularly nervous system abnormalities, such as being too stiff (posturing) or being too floppy (poor muscle tone), and signs of infection, injury, or suspected abuse. Based on the discussion with the caregivers and the physical examination, the doctor may have enough information to ensure the child does not have a serious medical condition. However, if uncertain, the doctor may do laboratory tests (such as blood tests to check for anemia or infection and tests for kidney and liver function, as well as stool, urine, and spinal fluid studies), imaging tests (such as a Chest Imaging or 