BRASH syndrome, a spiraling crash state involving bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia is often underrecognized and undertaught. Despite its high morbidity, BRASH often masquerades as isolated hyperkalemia or AV nodal blocker toxicity, leading to misdirected interventions such as ineffective pacing or standard ACLS protocols that fail to address the underlying pathophysiology. This session will guide participants through the recognition, diagnosis, and resuscitative management of BRASH syndrome. Special focus will be placed on how to recognize BRASH in the absence of severe hyperkalemia or overt overdose, and how to break the self-perpetuating cycle using targeted interventions including potassium modulation, addressing underlying causes and providing hemodynamic support.