Additional Consults/Evaluations
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If concern for child abuse
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If concern for aspiration due to feeding problem
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If concern for GERD
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If concern for central apnea or obstructive sleep apnea
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If concern for seizures
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If concern for arrhythmia or congenital heart disease
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If concern for inborn error of metabolism
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Merritt, J. L., 2nd, Quinonez, R. A., Bonkowsky, J. L., Franklin, W. H., Gremse, D. A., Herman, B. E., Jenny, C., Katz, E. S., Krilov, L. R., Norlin, C., Sapién, R. E., & Tieder, J. S. (2019). A Framework for Evaluation of the Higher-Risk Infant After a Brief Resolved Unexplained Event. Pediatrics, 144(2). https://doi.org/10.1542/peds.2018-4101
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.