Confronting acute refractory respiratory distress syndrome (ARDS), cardiogenic shock, post-cardiotomy failure, or severe primary graft dysfunction requiring Extracorporeal Membrane Oxygenation (ECMO) or Ventricular Assist Devices (VAD) overseas represents the absolute zenith of aeromedical critical care complexity. Every year, international corporate executives, offshore marine engineers, long-term expatriates, and Non-Resident Indians (NRIs) encounter catastrophic cardiopulmonary decompensation while…