BRUE (Pediatrics)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 20 June 2016

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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Summary

3 Categories: High Risk BRUE. Low Risk BRUE. Not a BRUE. Step 1: Is This a BRUE? Brief <60 seconds Resolved Exam and vitals back to baseline in the ED Unexplained No symptoms other than event itself Event Concerning change in any of the following… Tone Color Breathing Mental status Step 2: Is This Low […]

Transcript

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0:00.0	Hello, med students. My name is Zach Olson. Thank you so much for downloading this episode of the EM
0:07.4	Clerkship Podcast. First off, I just want to apologize for last week. I was literally opening up my
0:15.9	laptop to publish an already recorded podcast on Sunday. And my computer died.
0:21.6	It crashed.
0:22.9	And it's been over at the Apple store all week getting fixed up,
0:25.8	so I'm really sorry about that.
0:27.5	It just wasn't meant to be last week.
0:29.9	But we're going to get started again.
0:31.9	We are going to be covering a super interesting pediatrics topic today.
0:37.4	Close your eyes and imagine.
0:40.1	You pick up the chart of a pediatric patient,
0:42.9	six months old, chief complaint, loss of consciousness.
0:47.6	The triage note states that the child stopped breathing,
0:51.3	turned blue, and went limp 45 minutes ago.
0:56.4	So you go over to examine the patient, and the kid actually looks pretty good, and his
1:00.9	vitals are good.
1:01.9	And the parents, though, they are freaked out.
1:04.7	And they say, listen, I know he looks good now, doctor, but I swear he was dead.
1:10.7	We had to do CPR. Pause. What do you do?
1:19.8	Today, I'm going to give you the approach to Brewee, B-R-U-E, brief, resolved, unexplained events. This is a huge topic in pediatric emergency
1:34.4	medicine, especially. It used to be called ALTI. And the reason you probably haven't heard
1:40.2	much about it is that there was literally nothing to teach. All of these kids got admitted
	...

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