Case Discussion. Cardioembolic stroke || BRASH Syndrome || Hyperkalemia || Bradycardia || #aetcm ||
14:06
Case Discussion. Cardioembolic stroke || BRASH Syndrome || Hyperkalemia || Bradycardia || #aetcm ||
62 views1 week ago
YouTubeAETCM Emergency Medicine
Hyperkalemia is one of the most dangerous electrolyte abnormalities in medicine. When potassium rises significantly, cardiac conduction becomes unstable and life-threatening arrhythmias can occur. Management follows three key steps: stabilize the myocardium with intravenous calcium, shift potassium intracellularly using insulin with glucose or beta-agonists, and remove excess potassium through diuretics, potassium binders, or dialysis in severe cases. Rapid recognition and treatment are essentia
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Hyperkalemia is one of the most dangerous electrolyte abnormalities in medicine. When potassium rises significantly, cardiac conduction becomes unstable and life-threatening arrhythmias can occur. Management follows three key steps: stabilize the myocardium with intravenous calcium, shift potassium intracellularly using insulin with glucose or beta-agonists, and remove excess potassium through diuretics, potassium binders, or dialysis in severe cases. Rapid recognition and treatment are essentia
771 views1 month ago
TikTokdawson_.sheehan
I just got off shift and I need to tell you about this patient. She came in bradycardic, hyperkalemic, hypotensive, and barely making urine. But her potassium wasn’t even that high… and that mismatch is what made me stop. She was on a beta‑blocker. Her kidneys were failing. Her potassium was creeping up. Her blood pressure was dropping. That’s when it clicked: BRASH syndrome. BRASH is a cycle: Bradycardia → Renal failure → AV‑node blockers → Shock → Hyperkalemia. Each piece makes the next one wo
1:40
I just got off shift and I need to tell you about this patient. She came in bradycardic, hyperkalemic, hypotensive, and barely making urine. But her potassium wasn’t even that high… and that mismatch is what made me stop. She was on a beta‑blocker. Her kidneys were failing. Her potassium was creeping up. Her blood pressure was dropping. That’s when it clicked: BRASH syndrome. BRASH is a cycle: Bradycardia → Renal failure → AV‑node blockers → Shock → Hyperkalemia. Each piece makes the next one wo
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