APPARENT LIFE THREATENING EVENT (ALTE) or BRUE
DESIGNATION OF CONDITION
An ALTE is any event in which the infant has appeared to have had respiratory and/or cardiac arrest without seizure, trauma, or obvious other cause. The apnea is associated with color change (cyanosis, gray, or pallor), a loss of muscle tone, and choking or gagging. By definition, patient has recovered and appears well-If patient has not recovered fully, consider appropriate guideline based on patient's condition. All patients with ALTE need transport for evaluation to rule out serious cause. Many will be admitted. Refusals should generally involve online medical direction. ALTE is now referred to as a “BRUE” (Brief Resolved Unexplained Event).
ALL LEVELS
EMPHASIS ON PATIENT CARE
1. Primary Management - Assess ABC’S and manage as indicated.
2. Provide humidified oxygen if SpO2 <95%
3. Transport to appropriate facility.
PARAMEDIC
1. Apply EKG and treat arrhythmias per appropriate protocol.
DESIGNATION OF CONDITION
An ALTE is any event in which the infant has appeared to have had respiratory and/or cardiac arrest without seizure, trauma, or obvious other cause. The apnea is associated with color change (cyanosis, gray, or pallor), a loss of muscle tone, and choking or gagging. By definition, patient has recovered and appears well-If patient has not recovered fully, consider appropriate guideline based on patient's condition. All patients with ALTE need transport for evaluation to rule out serious cause. Many will be admitted. Refusals should generally involve online medical direction. ALTE is now referred to as a “BRUE” (Brief Resolved Unexplained Event).
ALL LEVELS
EMPHASIS ON PATIENT CARE
1. Primary Management - Assess ABC’S and manage as indicated.
2. Provide humidified oxygen if SpO2 <95%
3. Transport to appropriate facility.
PARAMEDIC
1. Apply EKG and treat arrhythmias per appropriate protocol.