PA Boards 84: Updated AAP Guideline - BRUE
Medgeeks Clinical Review Podcast
Medgeeks
4.7 • 989 Ratings
🗓️ 27 April 2016
⏱️ 10 minutes
🧾️ Download transcript
Summary
Today we are going to be discussing the AAPs new updated guideline regarding BRUE. BRUE stands for brief resolved unexplained events - this new terminology will replace the old term ALTE (apparent life-threatening events). 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).
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Transcript
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| 0:00.0 | Hey what's going on guys and welcome to episode 84 of the |
| 0:04.0 | physician assistant boards dot-com podcast today we're going to be talking about the |
| 0:07.7 | new updated guideline from the American Academy of Pediatrics and this update is specifically talking about Brew, |
| 0:14.8 | B-R-U-E which stands for brief resolved unexplained events. |
| 0:20.8 | So this is going to be an updated terminology and this new terminology is going to |
| 0:25.3 | replace the old term ALTE which stands for apparent life-threatening events. |
| 0:30.3 | So today's podcast is going to be focusing on this new updated guideline. |
| 0:34.0 | I am going to put the transcript and I'm also going to be talking about some specific signs, |
| 0:39.2 | some specific symptoms that you're going to want to look for when doing the history and the physical |
| 0:43.2 | exam on a child when evaluating Brew. And I'm going to put the transcript and I'm |
| 0:48.1 | going to put these details over on the website so you can go ahead and look at this, |
| 0:51.6 | you can download it and it's going to be a physician assistant boards.com |
| 0:55.9 | Forward slash B R U E so let's get into this new guideline from the AAP now like we said Bruce stands for brief resolved |
| 1:05.2 | unexplained events and this new terminology is going to replace the old term |
| 1:08.5 | ALTE which stands for apparent life-threatening events. Now this is the first clinical practice |
| 1:14.2 | guideline from the American Academy of Pediatrics that specifically applies to |
| 1:18.5 | patients who have experienced an apparent life-threatening event. The AAP defines Brew as an event occurring in an infant |
| 1:25.3 | younger than one years of age when the observer, which is typically going to be the parent, |
| 1:30.4 | reports a sudden brief but now resolved episode of one or more of the following. |
| 1:37.0 | Now remember the child has to be under a year old. |
| 1:39.8 | This is a strict guideline here. |
| 1:41.5 | So less than a year old and one or more of the following four. |
... |
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