In this Journal Club episode, I’m joined by my husband, Matt, an occupational therapist, as we discuss two articles relevant to acute and critical care practice. We review Association Between Rating of Respiratory Distress and Vital Signs, Severity of Illness, Intubation, and Mortality in Acutely Ill Subjects by Aiman Tulaimat et al., exploring the clinical significance of respiratory distress ratings, and Predictors of Decannulation Success in Tracheostomy: A 10-Year Analysis of the Global Tracheostomy Collaborative Database by Charissa J. Zaga et al., examining factors associated with successful tracheostomy decannulation. Join us as we break down the findings, discuss clinical implications, and share our perspectives from speech-language pathology and occupational therapy.