Critical Care Time 56. Tales from the ICU: BRASH Syndrome
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Aug 25, 2025 Join the hosts as they delve into a gripping clinical mystery from the ICU! They analyze a case involving a 79-year-old woman with puzzling symptoms, emphasizing the importance of collaboration between emergency and critical care physicians. The discussion highlights the complexities of diagnosing BRASH syndrome and dives into its pathophysiology. Listeners will uncover the nuances of managing bradycardia and hyperkalemia in critically ill patients, all while learning through a captivating and interactive storytelling approach!
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Ask For A Clear One‑Line Summary
- Summarize the case and ask how the patient looks before accepting transfer.
- Obtain collateral, goals of care, vitals, labs, imaging, and family contact from the ED clinician.
Value Details That Don’t Fit
- Notice details that don't fit your initial hypothesis and embrace them.
- Discordant findings often hold the key to the true diagnosis.
Start Broad, Then Narrow With Data
- Build a broad differential across organ systems and toxicologic causes.
- Check telemetry, EKG, troponin, TSH, cortisol, meds, and renal function early.