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Purpose of Review <p>This narrative review, using peer-reviewed literature supplemented by authoritative government, military, news, and professional-society sources when relevant factual information was not otherwise available, examines the role of anesthesiologists in disasters and large-scale emergencies, with emphasis on large-scale combat operations (LSCOs), Medical Operations Coordination Centers, and National Disaster Medical System coordination.</p> Recent Findings <p>Although prior literature has described anesthesiologists’ value in disasters and mass-casualty incidents, LSCO casualty planning introduces distinct challenges in casualty distribution, operative throughput, critical care surge, blood stewardship, and civil-military coordination. Recent literature also suggests that evolving hybrid threats may further complicate preparedness planning.</p> Summary <p>Anesthesiologists’ expertise in resuscitation, perioperative medicine, critical care, and hospital-wide coordination makes them essential to LSCO preparedness and response. The review concludes with practical recommendations to strengthen readiness through education, training, planning, and greater engagement in preparedness systems and emergency response frameworks.</p>

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The Role of the Anesthesiologist in Disasters and Large-Scale Emergencies: Lessons from a Potential Indo-Pacific Large-Scale Combat Operation

  • 期刊论文

  • 发表日期：

    2026年8月4日

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  • Brent R. Lee,
  • Philipp Lirk

摘要

Purpose of Review

This narrative review, using peer-reviewed literature supplemented by authoritative government, military, news, and professional-society sources when relevant factual information was not otherwise available, examines the role of anesthesiologists in disasters and large-scale emergencies, with emphasis on large-scale combat operations (LSCOs), Medical Operations Coordination Centers, and National Disaster Medical System coordination.

Recent Findings

Although prior literature has described anesthesiologists’ value in disasters and mass-casualty incidents, LSCO casualty planning introduces distinct challenges in casualty distribution, operative throughput, critical care surge, blood stewardship, and civil-military coordination. Recent literature also suggests that evolving hybrid threats may further complicate preparedness planning.

Summary

Anesthesiologists’ expertise in resuscitation, perioperative medicine, critical care, and hospital-wide coordination makes them essential to LSCO preparedness and response. The review concludes with practical recommendations to strengthen readiness through education, training, planning, and greater engagement in preparedness systems and emergency response frameworks.