ABSTRACT
Trauma patients present with and have the potential to develop an array of systemic and metabolic disturbances. Adult respiratory distress syndrome has been identified as a life-threatening development, especially in trauma patients. A systematic approach to care utilizing the acronyms FASTHUG and BANDAIDS, along with incorporating lung protective strategies, provides avenues to decrease mortality related to adult respiratory distress syndrome. A case study presentation, pathophysiology related to symptoms, interventions, and clinical outcomes are presented.