Episode 991: BRASH
Échec de l'ajout au panier.
Échec de l'ajout à la liste d'envies.
Échec de la suppression de la liste d’envies.
Échec du suivi du balado
Ne plus suivre le balado a échoué
Episode 991: BRASH
-
Narrateur(s):
-
Auteur(s):
À propos de cet audio
Contributor: Aaron Lessen, MD
Educational Pearls
BRASH Syndrome:
-
Bradycardia
-
Renal Failure
-
AV Nodal Blockade
-
Shock
-
Hyperkalemia
Clinical Features:
-
Profound bradycardia and shock in patients on AV nodal blockers:
-
Commonly, Beta Blockers or Calcium Channel Blockers
-
Etiology:
-
Caused by an inciting kidney injury:
-
Common triggers include precipitating illness, dehydration, or medications
-
Results in hyperkalemia
-
-
The enhanced effect of the combination of AV nodal blockade and hyperkalemia leads to a more profound presentation of shock.
Treatment:
-
IV Fluids, unless volume overloaded
-
Epinephrine for bradycardia
-
Lasix for volume overload, only if the patient is still making urine
- Low threshold to dialyze for hyperkalemia
-
Focus on treating early and more aggressively.
References:
Farkas JD, Long B, Koyfman A, Menson K. BRASH Syndrome: Bradycardia, Renal Failure, AV Blockade, Shock, and Hyperkalemia. J Emerg Med. 2020 Aug;59(2):216-223. doi: 10.1016/j.jemermed.2020.05.001. Epub 2020 Jun 18. PMID: 32565167.
Summarized by Ashley Lyons OMS3
Editting by Ashley Lyons OMS3 and Jeffrey Olson MS4
Donate: https://emergencymedicalminute.org/donate/
Join our mailing list: http://eepurl.com/c9ouHf