The St.Emlyn’s Podcast

Ep 221 - Brief Resolved Unexplained Events with Jilly Boden at the PREMIER Conference

Jun 21, 2023

Dive into the fascinating world of Brief Resolved Unexplained Events (BRUE) in children. Learn how to differentiate between high and low risk cases, as Jilly Boden provides invaluable management strategies. Discover tools for effectively educating parents on these mysterious occurrences and hear about the development of new guidelines in pediatric emergency medicine. Jilly's passion for teaching shines through, as she aims to improve care for both children and the practitioners serving them.

10:31

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Quick takeaways

Understanding the distinction between high-risk and low-risk BRUE cases is vital for effective management and reassurance for caregivers.

The creation of comprehensive guidelines for BRUE underscores the importance of caregiver education, particularly in CPR training and supportive resources.

Deep dives

Understanding Brief Resolved Unexplained Events (BRUE)

Brief resolved unexplained events, or BRUE, are episodes in children under 12 months characterized by sudden onset changes such as cyanosis, pallor, abnormal breathing, or altered consciousness, lasting less than one minute. Importantly, these episodes occur without identifiable medical conditions like hypoglycemia or sepsis. The transition from the older term 'acute life-threatening events' (ALTE) to BRUE acknowledges that many children present with frightening symptoms that can be misinterpreted. Jilly Bowden highlights the difference between a typical child behavior and the concerning nature of BRUE, emphasizing the need for clear definitions to guide medical professionals in appropriate responses to these events.

Understanding Brief Resolved Unexplained Events in Pediatrics

10min

The clue to these is very much in the Title – BRUE is a diagnosis in itself. Children often do weird stuff, but they rarely do weird scary stuff.

In this talk, Jilly goes talks through how we can define these events as high and low risk and gives us tools to manage these patients (and their parents)

Along with colleagues, Jilly has written a guideline for BRUE, the full version of which you can find here

Jilly also mentions a flowchart from Peds Cases, which you can find here

There is also this superb blog post from Natalie May on the St Emlyn's website which accompanies this podcast, which goes through some really useful cases.

As a Wessex ST7 in Paediatric Emergency Medicine (RCPCH), Jilly Boden currently works in Queen Alexandra Hospital (Portsmouth). Her specialist interests include acute stabilisation and transfer of the critically ill patient, having spent a year with the 'Southampton & Oxford Retrieval Team' (SORT) and hopes to find a way of combining this with her future PEM career.

Jilly has a passion for education, particularly 'PEM to the non-paediatrician', including international teaching of the tri-service military GPs, and being on the national committee to write a new standardised paramedic paediatric curriculum.

In her free time (you know, apart from the kids and all that) she works as part of the track medical team for the 'British Motorcycle Racing Club', providing pre-hospital care to high velocity polytrauma patients in the 'golden hour' following collisions often exceeding 120mph.

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The St.Emlyn’s Podcast

Ep 221 - Brief Resolved Unexplained Events with Jilly Boden at the PREMIER Conference

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Understanding Brief Resolved Unexplained Events (BRUE)

Risk Stratification and Management of BRUE

The Role of Guidelines and CPR Education

Remember Everything You Learn from Podcasts