This document provides guidance on treatment for various respiratory and circulatory conditions that can cause acute distress, including asthma, COPD, wheezy babies, and congestive heart failure. It recommends medications, oxygen supplementation, ventilation support like BiPAP, and criteria for admission. Guidance is also given on ECG interpretation, shock management including types of shock and use of blood products, pneumothorax treatment including chest tube insertion, and IV access.