Act now: strengthening critical care readiness in fragile health systems during war and disasters - Report - MDSpire

Act now: strengthening critical care readiness in fragile health systems during war and disasters

  • By

  • Abdullahi Hassan Elmi

  • June 23, 2026

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Clinical Report: Enhancing Critical Care Preparedness in Vulnerable Health Systems

Background

The impact of war and disasters on health systems can lead to a rapid increase in critically ill patients while simultaneously weakening the infrastructure necessary for their care. In fragile health systems, the absence of essential resources such as oxygen, blood, and reliable communication can exacerbate patient outcomes.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • Critical care readiness extends beyond the availability of ICU beds and ventilators.
  • System failures during crises can lead to preventable mortality due to delays in care and resource shortages.
  • A practical critical care package should include reliable oxygen systems, essential airway equipment, and protocols for various emergencies.
  • Telemedicine can support isolated teams but should not replace local capacity and trained staff.
  • Building scalable emergency critical care capacity is crucial for managing diverse patient needs during crises.

Clinical Implications

Healthcare professionals must prioritize the establishment of emergency infrastructure that includes reliable oxygen supply and trained personnel. Preparing for crises through competency-based training and clear protocols can significantly improve patient outcomes in fragile health systems.

Conclusion

Enhancing critical care preparedness in vulnerable health systems is vital to reduce avoidable deaths during crises. Proactive measures must be taken to strengthen these systems before the next emergency occurs.

Related Resources & Content

  1. World Health Assembly's Resolution on Comprehensive Emergency, Critical, and Surgical Care, Intensive Care Medicine, 2023 -- A Key Opportunity to Reduce the Global Impact of Acute and Critical Illnesses
  2. Enhancing Critical Care Capacity in Low-Income Countries, Intensive Care Medicine, 2023 -- A Health Systems Perspective Review
  3. Integrating rapid response systems and patient centered goals of care discussions, Frontiers in Medicine, 2026
  4. Assessing ICU Readiness and Bed Availability in Europe Post-COVID-19, Intensive Care Medicine, 2026
  5. Progress on emergency, critical and operative care, WHO, 2025
  6. Progress on emergency, critical and operative care
  7. Vol 152, No 16_suppl_2 | Circulation
  8. The prevalence of hypoxaemia in paediatric and adult patients in health-care facilities in low-income and middle-income countries: a systematic review and meta-analysis - PubMed

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