Safety, quality & education

Guidelines for the Initial Assessment of Respiratory Distress in the Emergency Department

Ann Intensive CarePublished Guideline

Methodological detailsformalized expert recommendations, GRADE methodology, GRADE Grid voting, Panel of 30 French experts from the SFMU and FICS, Literature search over the last 20 years per PRISMA; PICO questions; voted by GRADE Grid method, 13 clinical questions yielding 20 recommendations; strong consensus after two rounds of voting
  • Formalized expert recommendations
  • GRADE methodology
  • GRADE Grid voting
  • Panel of 30 French experts from the SFMU and FICS
  • Literature search over the last 20 years per PRISMA; PICO questions; voted by GRADE Grid method
  • 13 clinical questions yielding 20 recommendations; strong consensus after two rounds of voting

Recommendations

As issued by the authors

  1. GRADE 1

    2 strong recommendations based on high-quality evidence

  2. GRADE 2

    6 conditional recommendations based on moderate-quality evidence

  3. Expert opinion

    12 recommendations based on expert opinion (low level of evidence)

  4. For 3 questions, no recommendation could be formulated (insufficient evidence)

Original publication

Guidelines for the Initial Assessment of Respiratory Distress in the Emergency Department. Ann Intensive Care. Published 20 January 2026. doi:10.1016/j.aicoj.2025.100005

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