{"id":4981,"date":"2023-12-17T11:45:38","date_gmt":"2023-12-17T11:45:38","guid":{"rendered":"https:\/\/paeder.com\/23-12-unclear-state-of-emergency"},"modified":"2024-09-29T14:30:59","modified_gmt":"2024-09-29T14:30:59","slug":"23-12-unclear-state-of-emergency","status":"publish","type":"post","link":"https:\/\/paeder.com\/en\/23-12-unclear-state-of-emergency","title":{"rendered":"23-12 Unclear state of emergency"},"content":{"rendered":"<div class='flex_column av-r2revd-9564e6574961567c66be0e8ec2a144a7 av_one_fifth  avia-builder-el-0  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div '     ><\/div>\n<div class='flex_column av-p1diuh-fc959b879f741cc1799b256e4db66470 av_three_fifth  avia-builder-el-1  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-o7rmxl-37df04cc7c0f207b80442d2c397569e6\">\n.avia-image-container.av-o7rmxl-37df04cc7c0f207b80442d2c397569e6 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-o7rmxl-37df04cc7c0f207b80442d2c397569e6 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-o7rmxl-37df04cc7c0f207b80442d2c397569e6 av-styling- avia-align-center  avia-builder-el-2  el_before_av_hr  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-4973 avia-img-lazy-loading-not-4973 avia_image ' src=\"https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761.jpg\" alt='' title='Header Unklarer Ausnahmezustand 1920 x 761'  height=\"761\" width=\"1920\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761.jpg 1920w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-300x119.jpg 300w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-1030x408.jpg 1030w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-768x304.jpg 768w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-1536x609.jpg 1536w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-1500x595.jpg 1500w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-705x279.jpg 705w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-450x178.jpg 450w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/12\/Header-Unklarer-Ausnahmezustand-1920-x-761-600x238.jpg 600w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mwze7t-9968025c0d364de94bc13acb65b2e721\">\n#top .hr.hr-invisible.av-mwze7t-9968025c0d364de94bc13acb65b2e721{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-mwze7t-9968025c0d364de94bc13acb65b2e721 hr-invisible  avia-builder-el-3  el_after_av_image  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-l2e9x5-f7cebc026a15a90c73be9c8b97bac4df'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: right;\">December 16, 2023<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-iqzvi1-d6b6b4c164574d4d703348044bd5a05b\">\n#top .av-special-heading.av-iqzvi1-d6b6b4c164574d4d703348044bd5a05b{\npadding-bottom:10px;\ncolor:#fc0001;\n}\nbody .av-special-heading.av-iqzvi1-d6b6b4c164574d4d703348044bd5a05b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-iqzvi1-d6b6b4c164574d4d703348044bd5a05b .special-heading-inner-border{\nborder-color:#fc0001;\n}\n.av-special-heading.av-iqzvi1-d6b6b4c164574d4d703348044bd5a05b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-iqzvi1-d6b6b4c164574d4d703348044bd5a05b av-special-heading-h2 custom-color-heading  avia-builder-el-5  el_after_av_textblock  el_before_av_hr '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Unclear exceptional circumstances &#8211; always have them assessed by a pediatrician!<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hmagvd-068633f38c1bb3fe0e9d62903f046984\">\n#top .hr.hr-invisible.av-hmagvd-068633f38c1bb3fe0e9d62903f046984{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-hmagvd-068633f38c1bb3fe0e9d62903f046984 hr-invisible  avia-builder-el-6  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-gj158p-0d9b5399d0247b5228214c8ccacc8ac7'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>The emergency services are regularly confronted with a report of a child&#8217;s condition that is perceived as threatening, from which nothing clear can be derived anamnestically &#8211; and the young patient again presents completely unrestricted. Nevertheless, an assessment by a pediatrician is always necessary.<\/strong>  The former term &#8220;apparent life threatening event&#8221; (ALTE) has been replaced by the term &#8220;brief resolved unexplained event&#8221; (BRUE). This new nomenclature was chosen to include episodes that are not perceived as life-threatening. Apart from this, however, it continues to define a state that is associated with a change  <\/p>\n<ul>\n<li>of the muscle tone,<\/li>\n<li>skin color,<\/li>\n<li>the level of alertness and\/or<\/li>\n<li>the breathing<\/li>\n<\/ul>\n<p>  has gone hand in hand. Only if a thorough medical history and pediatric examination reveal no further abnormalities may a working diagnosis of BRUE be made.  <\/p>\n<h3 class=\"EndNoteBibliography\"><span style=\"color: #333333;\"><strong>Be sure to present at the pediatric clinic  <\/strong><\/span><\/h3>\n<p>  Colloquially, the term &#8220;state of emergency&#8221; is often used. Basically, such conditions have a variety of possible causes, including gastroesophageal reflux, seizures and upper respiratory tract infections. Cardiopulmonary causes, on the other hand, are very rare. The decisive factor in the guideline-compliant treatment of such a BRUE is the presentation of the child by the emergency services to a specialist in pediatric and adolescent medicine in a pediatric clinic [1]. This may then determine further investigations. After a thorough pediatric history and examination, however, immediate discharge from the clinic may even be justified.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-dl6x15-ecd9ec9bc1c88ad8894be938f3dba7c5\">\n#top .hr.hr-invisible.av-dl6x15-ecd9ec9bc1c88ad8894be938f3dba7c5{\nheight:40px;\n}\n<\/style>\n<div  class='hr av-dl6x15-ecd9ec9bc1c88ad8894be938f3dba7c5 hr-invisible  avia-builder-el-8  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-3i4vd-89fb3c5f0665c9527a695c399d90563a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"EndNoteBibliography\"><strong>Literature:<\/strong><\/p>\n<ol>\n<li class=\"EndNoteBibliography\">Tieder JS, Bonkowsky JL, Etzel RA et al. Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants. Pediatrics 2016; 137: e1-e32, DOI: 10.1542\/peds.2016-0590<\/li>\n<\/ol>\n<\/div><\/section><br \/>\n<div  class='av-social-sharing-box av-81frux-2c7f604f2c0670a7a2904d6655d52ffa av-social-sharing-box-default  avia-builder-el-10  el_after_av_textblock  el_before_av_hr  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Share post<\/h5><ul class=\"av-share-box-list noLightbox\"><li class='av-share-link av-social-link-facebook' ><a target=\"_blank\" aria-label=\"Share on Facebook\" href='https:\/\/www.facebook.com\/sharer.php?u=https:\/\/paeder.com\/en\/23-12-unclear-state-of-emergency&#038;t=23-12%20Unclear%20state%20of%20emergency' aria-hidden='false' data-av_icon='\ue8f3' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Facebook' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Facebook<\/span><\/a><\/li><li class='av-share-link av-social-link-twitter' ><a target=\"_blank\" 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