SIDS, BRUE, and Safe Sleep Guidelines

• By consensus, the term apparent life-threatening event (ALTE) should no longer be used, and the term brief resolved unexplained event (BRUE) should be applied only if the specific event criteria are met. • By consensus, a BRUE must be further classified as lower risk (follow management recommendations as outlined) or higher risk (manage based on physician determination for the specific event). • By strong evidence, ALTE/BRUE is not related to sudden infant death syndrome (SIDS), and interventions that have reduced SIDS have not reduced ALTE events. • By strong evidence, clinicians should be aware of safe sleep recommendations for infants and reinforce their importance during infancy as part of routine anticipatory guidance to families. © 2019 American Academy of Pediatrics. All rights reserved.