ALTE v1

Definition: <12 months with an event which was frightening to the caregiver associated with at least two of the following: apnea, choking, cyanosis, or loss of muscle tone.
  • Evaluation in the ED shows hypoxia, recurrent episodes or concern for life threatening illness.
    • yes
      • ADMIT
    • no
      • Significant PMH (Common Examples)
        • Neuromuscular Disorders: Cerebral palsy, hydrocephalus, VP shunt, seizure disorder
          • ADMIT
        • Cardiovascular: Congenital heart disease, dysrhythmia
          • ADMIT
        • Pulmonary: Chronic lung disease
          • ADMIT
        • Genetic: Downs syndrome
          • ADMIT
        • Metabolic: Congenital adrenal hyperplasia
          • ADMIT
      • More than one ALTE in 24 hours
        • Yes
          • ADMIT
        • No
          • Consider D/C with close follow-up (caution if resuscitation or central cyanosis from the field)

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