急診臨床計算機 — 兒科

To be classified as BRUE, all of the following must be true: Infant <1 year old. Asymptomatic on presentation (no URI symptoms, no fever). No explanation for the event after conducting history and physical (e.g. GER, feeding difficulties). History of sudden, brief, and now resolved episode consisting of ≥1 of the following: Cyanosis or pallor. Absent, decreased, or irregular breathing. Marked change in tone (hyper or hypotonia). Altered level of responsiveness. The risk of serious underlying condition and the risk of recurrent event are calculated based on the following inputs: Age, days. History of similar event.* History of multiple events or event clusters.* Abnormal medical history.* Prematurity (<32 weeks or between 32-38 weeks and corrected to <45 weeks).* Absent, decreased, or irregular breathing.* Marked change in tone (hyper or hypotonia).* *Yes = 1, No = 0 % risk of serious underlying condition = [ex/(1 + ex)]*100, where x = -2.9 – 0.0046*(Age, days) + 1.22*(History of similar event) + 0.35*(Abnormal medical history) % risk of recurrent event = [ew/(1 + ew)]*100, where w = -2.82 + 0.65*(History of similar event) + 0.98*(History of multiple events or event clusters) + 0.28*(Prematurity) + 0.36*(Cyanosis or pallor) + 0.16*(Absent, decreased, or irregular breathing) + 0.23*(Marked change in tone)

To be classified as a BRUE, all of the following must be true: Infant <1 year old. Asymptomatic on presentation (no URI symptoms, no fever). No explanation for the event after conducting history and physical (e.g. GER, feeding difficulties). History of sudden, brief, and now resolved episode consisting of ≥1 of the following: Cyanosis or pallor. Absent, decreased, or irregular breathing. Marked change in tone (hyper or hypotonia). Altered level of responsiveness. Then, for a BRUE to be classified as low risk, all of the following must also be true: Episode duration <1 minute. >2 months of age. No history of prematurity.* No prior BRUE. No need for CPR by medical provider. *≥32 weeks gestational age or ≥45 weeks postconceptional age for infants born at <32 weeks.

Predicted Size Uncuffed Tube = (Age/4) + 4 Predicted Size Cuffed Tube = (Age/4) + 3.5