Review Article

Austere, Remote, and Disaster Medicine Missions: An Operational Mnemonic Can Help Organize a Deployment

Authors: Darryl J. Macias, MD, FACEP, Jason Williams, BS, EMT-P

Abstract

Medical care in resource-limited environments (austere settings) can occur in the context of a disaster, wilderness, or a tactical field operation. Regardless of the type of environment, there are common organizational themes in most successful humanitarian missions that occur in harsh natural or manmade environmental conditions. These principles prioritize the initiation and execution of any given deployment in austere or remote settings, diverging from priorities that would occur in a situation in which change to the existing medical structure is intact and operating well. Attention to these priorities not only helps providers to deliver medical care to people in need during a period of resource limitations but it also can keep providers, teams, the public, and patients safe during and after a deployment.

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