How do you be on your game when it really counts--the few instances when our sometimes sense of complacency, if not tedium or boredom, is replaced by the emotional call of a crashing asthmatic, a hypoxic patient who doesn’t look too bad until it’s too late, an acute pulmonary edema that just won’t get better, or patients who goes over the edge of the respiratory cliff just as we try to intubate them? The goal of this class is to focus on the more nuanced management of respiratory emergencies--the occasionally really scary “B” of the ABCs. Using case-based scenarios, we’ll discuss how we probably ought to rethink some of our well-worn (out) approaches to respiratory failure, acute exacerbations of asthma and COPD, acute pulmonary edema, and crash intubation.