Taking the history of the<unk>  is vital in the evaluation of a BRUE. The first step is determining whether this is truly a BRUE by looking for presence of abnormal symptoms or vital signs. If this is the case, then it cannot be labelled as a BRUE and the healthcare professional should treat accordingly. Low-Risk Infants The next step in evaluation is distinguishing whether this BRUE is low or high-risk. The American Academy of Pediatrics classifies an infant as low risk if they have a BRUE and meet the following characteristics: * infant is of age greater than 60 days * gestational age greater than or equal to 32 weeks * infant has had no prior BRUEs * this BRUE did not occur in a cluster * cardiopulmonary resuscitation (CPR) by a medical provider was not required * no concerning features on history * no concerning physical examination findings * duration less than 20 seconds High-Risk Infants If the infant does not meet all of these criteria, the BRUE is considered high-risk, and more likely represents an underlying medical condition. Characteristics of the infant that make this more likely include history of similar<unk> s or clustering, history of unexpected death in a sibling, need for CPR by a trained medical professional, ongoing lethargy, suspicion for child abuse or maltreatment, or existence of genetic syndrome or congenital anomalies.
Brief resolved unexplained event
Acute behavioural disturbance
Acute muscle soreness
At risk mental state
Fatal insomnia
Headache attributed to a substance or its withdrawal
Paroxysmal attack
Chronic condition