Great News: Over 170 PEDReady Champions &/or Pediatric Emergency Care Coordinators (PECCs) have subscribed to this listserve in just 3 weeks! Over 30 PEDReady Resource Toolkits have been disseminated to EMS and ED PECCs/Champions. Go Team Florida!
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Email pedready@jax.ufl.edu with your suggestions, upcoming pediatric courses or requested content.

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April 18, 2019
Focus | Brushing Up on BRUE: Brief Resolved Unexplained Events
1. BRUE: Brief Resolved Unexplained Events
Key Points:

  • Previously called ALTE (Acute Life Threatening Event)

  • Age: ≤ 1 year of age

  • Duration is < 1 minute (typically 20-30 seconds) and episode is then resolved

  • Parent/Caregiver witnessed 1 or more of the following:
  • Central cyanosis or pallor: not acrocyanosis, not redness, look at the face gums and trunk of baby
  • Marked change in tone (hypertonia/stiff or hypotonia/floppy/limp)
  • Altered level of responsiveness
  • Absent, decreased, or irregular breathing

  • Diagnosed only if no explanation of event after full history, exam and tests 

  • High-risk BRUE kids are less than 60 days of age, premies, babies with a previous BRUE episode, event requiring CPR, history concerning for abuse, family history of sudden death in first degree relatives

Don’t let BRUE scare you! Learn more with these resources: 

2. Upcoming Pediatric Emergency Conferences
Advanced Practice Provider (APP) Skills Camp
May 2-3, 2019
EMLRC in Orlando, FL 
Approved for up to 10.25 AMA PRA Category 1 Credits ™ & 7.5 nursing hours

Pediatric lectures include:
  • Pediatric Review MIPS
  • Brief Resolved Unexplained Events (BRUE)
  • Pediatric Non-Traumatic Surgical Injuries 
Pediatric Care After Resuscitation (PCAR) Course  
December 2-3, 2019
Wolfson Children's Hospital in Jacksonville, FL 
Approved for nursing hours

The mission of Trauma Care After Resuscitation (TCAR) is to expand the knowledge base and clinical reasoning skills of nurses who work with injured patients anywhere along the trauma continuum of care, particularly in the post-resuscitation phase. 
Know of more pediatric conferences or educational opportunities? Email pedready@jax.ufl.edu .
3. EMSC Day: May 22, 2019
Start planning now for EMSC Day! Consider distributing new EMSC Communication Cards , host a skills station or watch the national EMSC/EIIC webinar, "Prehospital Care of Children: Review of Evidence Based Guidelines," on May 22, 2019 at 11:00 am EST. Register Now  
Thanks for being a Pediatric Champion!
The Florida PEDReady Program
pedready@jax.ufl.edu | 904-244-8617