Clinical Practice and Cases in Emergency Medicine

Introduction: Bradycardia, Renal failure, Atrioventricular nodal blockade, Shock, Hyperkalemia (BRASH syndrome) is commonly misdiagnosed in the emergency department, which can lead to a delay in care and poor patient outcomes.

Case Report: We present a case of BRASH syndrome in a patient with no underlying renal disease, which further complicated diagnosis and delayed treatment.

Conclusion: Prompt recognition of the underlying pathophysiology in cases of BRASH syndrome is essential to guide treatment and avoid delays in care.