Respiratory distress is a potentially life‑threatening medical emergency characterized by difficulty in breathing, inadequate oxygenation, and risk of respiratory failure. Immediate recognition and prompt management are essential to prevent morbidity and mortality. Various conditions such as acute asthma exacerbation, chronic obstructive pulmonary disease (COPD), pneumonia, pulmonary edema, anaphylaxis, and airway obstruction may lead to respiratory distress. The primary approach to emergency management follows the ABC protocol—Airway, Breathing, and Circulation—ensuring airway patency, adequate oxygenation, and circulatory stability. Early interventions include oxygen therapy, bronchodilators, corticosteroids, monitoring of oxygen saturation, and advanced airway management in severe cases. Diagnostic investigations such as pulse oximetry, arterial blood gas analysis, chest X‑ray, and laboratory tests assist in identifying the underlying cause and guiding treatment. From an Ayurvedic perspective, respiratory distress correlates with disorders described as Shwas and Kaas, primarily involving the Pranavaha Srotas and imbalance of Vata and Kapha Dosha. Classical Ayurvedic texts describe therapeutic approaches including Swedana, Vamana in selected conditions, and herbal formulations such as Sitopaladi Churna and Talisadi Churna for respiratory ailments. However, these therapies are recommended mainly during stable conditions and not during acute emergencies. An integrated approach combining modern emergency medical management with the holistic principles of Ayurveda may help improve patient outcomes and provide comprehensive care. Early diagnosis, rapid intervention, and appropriate follow‑up remain key factors in the successful management of respiratory distress.