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BRASH syndrome: A rare, vicious cycle
Kaegan G Williams1, Rachel S Robeck
1At Brooke Army Medical Center in Fort Sam Houston, Tex., Kaegan G. Williams is an advanced emergency medicine ultrasound PA fellow and Rachel S. Robeck is research director of the US Army-Baylor University Emergency Medicine PA Fellowship. Dr. Robeck also practices at the Naval Medical Research Unit in San Antonio, Tex. The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Defense Health Agency, Brooke Army Medical Center, or the Department of Defense, nor any agencies under the US government. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Bradycardia, renal failure, atrioventricular nodal blockade, shock, and hyperkalemia (BRASH) can combine into a vicious cycle that can present as bradycardia refractory to the Advanced Cardiac Life Support bradycardia algorithm. Early identification and treatment of BRASH syndrome are paramount to prevent patient deterioration into multiorgan failure.
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