> [!pearl] Low Risk Brue mnemonic: > “<1 year, <1 min, <1 medical condition, ≥ 1 scary feature” ![[Pasted image 20230818195452.png]] Criteria for “low risk” BRUE similar to [[Febrile seizure]] but slight differences **Differential diagnoses** - Airway: obstruction, inhaled foreign body, laryngospasm, congenital abnormalities, infection - Cardiac: congenital heart disease, vascular ring, arrhythmias, prolonged QT - Abdominal: intussusception, strangulated hernia, testicular torsion - Infection: pertussis, sepsis, pneumonia, meningitis - Metabolic: hypoglycaemia, hypocalcaemia, hypokalaemia, other inborn errors of metabolism - Toxins/Drugs/Ingestions: accidental or non-accidental - Inflicted injury Ddx is essentially the same as [[Neonates#THE MISFITS|neonatal collapse]]: 1. sepsis 2. cardiac 3. metabolic 4. GI catastrophe 5. NAT - injury -- shaken baby - drug overdose -- eg beta blocker or sulfonylurea - infection - meningitis, pneumonia - GI -- intussaception, hernia, - metabolic -- hypoglycaemia - cardiac -- congenital heart disease, arrhythmia