# BRASH Syndrome in the Absence of Chronic Kidney Disease: A Case Report

## TL;DR

This case report highlights BRASH syndrome in a patient without kidney disease, emphasizing the need for quick diagnosis to prevent treatment delays.

## Contribution

The paper presents a rare case of BRASH syndrome without chronic kidney disease, adding to its diagnostic complexity.

## Key findings

- BRASH syndrome can occur without underlying renal disease, complicating diagnosis.
- Misdiagnosis in the emergency department can lead to delayed treatment and poor outcomes.
- Prompt recognition of BRASH syndrome's pathophysiology is crucial for effective care.

## Abstract

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.

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

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