As the planet continues to warm, precipitation amounts and timing are changing. Predicted increases in frequency and severity of drought in some regions will increase the frequency of dust storms and wildfires, contributing to increased exposure to poor air quality. Poor air quality causes health impacts including respiratory diseases, cardiovascular diseases, stress and mental health outcomes, worsening of pre-existing health conditions, and death. However, relatively few studies exploring future drought-related impacts on health have been conducted in the Canadian context. This study examined self-reported health impacts and coping strategies of members in two First Nation communities in Saskatchewan during poor air quality events. Studying marginalized communities, such as First Nation communities, is essential because these communities face specific exposures due to their ties to the land and are likely to experience significant structural barriers and limits to their adaptation given the impacts of colonization. It is important to work with First Nations communities to understand place-based impacts and culturally appropriate adaptation strategies to effectively inform policy and practice. Elders and Knowledge Holders, Key Informants, and general community members were interviewed to better understand how individuals in First Nation communities in Saskatchewan have experienced and been impacted by drought-induced poor air quality. Common themes emerging include concern for health and wellbeing of youth and Elders in the community, concerns around community preparedness during adverse air quality events, and feelings of community cohesion amongst members for support during these events. Ultimately, the intent of this project is to prioritize Indigenous-specific impacts and actions during poor air quality events in order to enhance evidence-informed policies, education, and awareness.