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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Dysrhythmias IV: Characteristics of Bradyarrhythmias01:18

Dysrhythmias IV: Characteristics of Bradyarrhythmias

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Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
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Assessment of blood pressure in brachial artery(one-step method)01:15

Assessment of blood pressure in brachial artery(one-step method)

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This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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BRASH Syndrome: A Case Report.

V K Vishnu1, Nayer Jamshed1, V T Amrithanand1

  • 1Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.

The Journal of Emergency Medicine
|February 28, 2021
PubMed
Summary
This summary is machine-generated.

BRASH syndrome, characterized by bradycardia, renal failure, atrioventricular nodal blockade, shock, and hyperkalemia, requires prompt recognition. Early diagnosis and management of this condition significantly improve patient outcomes.

Keywords:
bradycardiaemergency department (ED)hyperkalemiarenal failureshock

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Area of Science:

  • Cardiology
  • Nephrology
  • Emergency Medicine

Background:

  • BRASH syndrome is a recently described clinical entity.
  • It is defined by five components: bradycardia, renal failure, atrioventricular nodal blockade, shock, and hyperkalemia.
  • The initial presentation may not always include all five components.

Observation:

  • An elderly woman presented with hyperkalemia, acute renal failure, and bradycardia.
  • Her condition was refractory to standard treatments like antikalemic measures and atropine.
  • The constellation of symptoms strongly suggested BRASH syndrome.

Findings:

  • BRASH syndrome diagnosis was established based on the patient's clinical presentation.
  • Streamlined management based on the BRASH diagnosis led to a better patient outcome.
  • The case highlights the importance of recognizing this syndrome in the Emergency Department.

Implications:

  • Emergency physicians must be aware of BRASH syndrome as its incidence is expected to rise.
  • Timely recognition and appropriate management are crucial for a favorable prognosis.
  • This condition requires a management approach distinct from typical presentations of its individual components.