Senior Trainee Dr Victoria McCormack and consultant intensivist Dr Serena Tolhurst-Cleaver from Salford Royal NHS Foundation Trust join us to discuss their article 'Acute Respiratory Distress Syndrome', published in the May 2017 edition of BJA Education. Topics for discussion include the importance of diagnosing ARDS with the revised definition, pathophysiology, ventilation strategies, and the indications for ECMO referral.