93: What the Heck is BRASH Syndrome?

Rapid Response RN

Are you familiar with BRASH syndrome? The complex interplay of Bradycardia, Renal Failure, Atrioventricular Block, Shock, and Hyperkalemia forms a collection of clinical signs known as BRASH syndrome. One condition leads to another which leads to another, heightening the severity of symptoms. Fortunately, it’s easy to manage if you know what you are treating.

In this episode, Sarah Lorenzini breaks down the pathophysiology of BRASH syndrome as she examines a patient case study. Starting with its hallmark features and expanding into the synergistic effects of AV nodal blockers, hyperkalemia and renal failure, she provides insights on recognizing the signs of BRASH syndrome early and the importance of understanding the interplay among its components.

Sarah outlines the treatment priorities for BRASH syndrome and highlights the importance of identifying the root cause of symptoms to prevent a cascade of complications leading to shock.

Tune in to strengthen your knowledge of BRASH syndrome!

Topics discussed in this episode:

• Case study analysis of a BRASH patient
• Components of BRASH Syndrome
• How BRASH developed in Sarah’s patient
• Treatment and management of BRASH Syndrome
• The role of calcium in treatment of BRASH

You can learn more about BRASH Syndrome at the Internet Book of Critical Care Website:

https://emcrit.org/ibcc/brash/

Mentioned in this episode:

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