Ayurveda, the ancient system of medicine, emphasizes treating the root cause of diseases while maintaining the balance of body, mind, and spirit. Although the term “emergency” is not explicitly mentioned in classical Ayurvedic texts, the concept of Atyayika Chikitsa (urgent management) indicates the necessity of prompt and effective treatment in life-threatening conditions. Respiratory distress is one such critical condition characterized by difficulty in breathing, inadequate oxygenation, and potential threat to life if not managed immediately. From an Ayurvedic perspective, respiratory distress can be correlated with conditions involving aggravated Vata and Kapha dosha, which obstruct the normal functioning of Pranavaha Srotas (respiratory channels). The present review aims to study Ayurvedic principles of emergency management and to explore Ayurvedic interventions applicable in respiratory distress. For this purpose, literary materials were compiled and critically analyzed from classical Ayurvedic texts and related scholarly literature. The study focuses on understanding Ayurvedic therapeutic approaches including Atyayika Chikitsa, Shodhana and Shamana Chikitsa, use of herbal formulations, and supportive measures that help restore the normal function of the respiratory system.The discussion highlights that Ayurveda provides a holistic and supportive framework for managing respiratory emergencies by addressing underlying doshic imbalance and improving respiratory function. It can serve as a complementary approach alongside modern emergency care. Thus, it is concluded that Ayurvedic interventions may play a beneficial role in the supportive management of emergency conditions such as respiratory distress.