In this episode of ACEP Frontline, recorded live from ACEP26 in Chicago, Dr. Ryan Stanton is joined by Matthew Pavlichko, host of the RT Sidebar Podcast, and Dr. Jessica Whittle to discuss the recognition and significance of increased work of breathing in emergency medicine patients. They explore the clinical importance of identifying respiratory distress early, the role of objective assessment and team-based care, and practical strategies for using work of breathing as an early warning sign of serious underlying illness before patient deterioration occurs.