New CPS Practice Point on BRUE: Advancing Evidence-Based, Family-Centred Care

Congratulations to PIRN members Dr. Nassr Nama and Dr. Peter Gill on their leadership of a new Canadian Paediatric Society Practice Point on the management of brief resolved unexplained events (BRUE) in infants. Drawing on the latest evidence, the guidance supports a family-centred approach that emphasizes careful clinical assessment, avoiding unnecessary testing and hospitalization, and reassuring families that serious underlying diagnoses are uncommon.

A BRUE is a brief episode in a baby under one year of age involving changes in breathing, colour, muscle tone, or responsiveness that resolves on its own and has no obvious cause after examination. This new practice point highlights that most infants who experience a BRUE are healthy and do not have a serious underlying condition. The authors recommend focusing on a thorough history and physical examination, limiting tests to situations where there are specific concerns, and ensuring families receive clear information, timely follow-up, and support.

Read the full practice point here!

Practice Point