Senior Trainee Dr Victoria McCormack and Consultant Intensivist Dr Serena Tolhurst-Cleaver from the Salford Royal NHS Foundation Trust in Manchester join us to discuss their article ‘Acute Respiratory Distress Syndrome’, published in the May 2017 print edition of BJA Education. Topics include discussion of the importance of diagnosing ARDS with the revised definition, the pathophysiology, some ventilatory strategies and other potential treatment options and when to refer for ECMO.