Emergency condition is defined as an acute injury or illness that poses an immediate, time-sensitive threat to a person’s life or long term health. These conditions require immediate medical intervention to prevent death, permanent disability or severe damage to organs. Ayurveda is often viewed as a system mainly addressing chronic diseases, however classical Ayurvedic literature demonstrates a clear understanding of acute and life-threatening conditions. These are described under concepts such as Atyayika Vyadhi, Ashukari Avastha, Daruna Vyadhi and Vegavastha. Acharya Sushruta explicitly emphasizes urgent management of such conditions, highlighting the necessity of immediate intervention.Objectives-To review and analyze the concept of emergency management (Atyayika Chikitsa) in Ayurveda and to evaluate its relevance in context of present day integrative emergency care. Materials and Methods-A conceptual and literary review was carried out using classical Ayurvedic texts. References related to acute disease presentations, emergency terminology and principles of urgent management were identified and compiled and analyzed. Clinical Correlation was made with modern emergency conditions based on severity and rapid disease progression. Results-Classical Ayurvedic texts describe many conditions such as Shwasa, Atisara, Chhardi, Raktapitta, Jwara and Mutraghata as Pranahara if not treated promptly. The principles of Atyayika Chikitsa include prioritizing Prana Rakshan preference for Shamana Chikitsa, avoidance of Shodhana in debilitated patients, selection of quick-acting therapeutic measures and ethical consideration. Conclusion- Ayurveda possesses a well-defined conceptual framework for emergency management through Atyayika Chikitsa.