Confronting acute respiratory failure, prolonged mechanical ventilation dependence, non-weanable surgical tracheostomies following severe polytrauma, or advanced neuromuscular compromise overseas represents an exceptionally demanding, high-risk aeromedical situation. Every year, international project contractors, foreign diplomatic staff, long-term expatriates, overseas scholars, and Non-Resident Indians (NRIs) develop severe acute respiratory distress syndrome (ARDS), refractory pneumonia, or post-surgical respiratory fatigue…