BRUEs (Brief Resolved Unexplained Events) in infants can be really concerning for family members to witness. But, inherently, when prehospital teams arrive the infant is often alert and crying. So what's going on?

Here's what we need to know....🧵

#FOAMed #FOAMems #paramedic What is a BRUE?

A marked change in a colour, tone, breathing or level of response.

The infant must be <12mnths old and the episode needs to have lasted <1min, with the infant now seemingly fully recovered. It also needs to be unexplained by identifiable medical conditions

Teaching the airway station on #NLS today, so what are the take homes?

1. Place infants head in neutral alignment. This means the plane of the face is parallel to the ceiling, avoid hyperextension or hyperflexion. This might require a small towel/nappy under the shoulders 2. Size up a mask which fits over the mouth and nose but doesn’t project out over the chin or up into the orbits

With an increasing number of #specialist & #advancedpractice roles emerging for #paramedics, I thought it might be useful to assimilate some thoughts on preparing yourself & your CV for these positions. I’m not the oracle though! Hoping others will help @wiggs1234 @AirwayVigilante @blacksladder @simontutt88 @AshBrownett @LavergneNatalie @Scott_ACP @ParaACP @EDPractitioner @Coxy997 @PrimaryCareACP @markturner30 @ccpractitioner @JoshEason6

Whilst the new #RESUS21 guidelines don’t introduce any significant changes, here are some take homes that I believe are worth highlighting. A thread....

#FOAMed #FOAMems #cardiacarrest #resuscitation “Ambulance services should monitor staff exposure to resuscitation and low exposure should be addressed to increase experience”

It will be interesting to see if, and how, ambulance trusts follow this guidance.