ICU sedation, delirium & recovery

Palliative and end-of-life care on the battlefield: a scoping review

Crit CarePublished Scoping review

Authors' conclusion

Pain management in combat is a well-researched field, but one that is rarely examined in the specific context of end-of-life care. Similarly, there is a notable gap in the literature regarding palliative care in a combat context.

Study context

Population
Studies since 1900 on frontline palliative and end-of-life care for combatants35 articles
Outcome
Knowledge gaps in palliative and supportive care in combat situations
Methodological detailspre-registered protocol, triangulation at each screening stage, Searched PubMed, CAIRN, Scopus and Embase; last search 31 December 2025
  • Pre-registered protocol
  • Triangulation at each screening stage
  • Searched PubMed, CAIRN, Scopus and Embase; last search 31 December 2025

Main finding

As reported in the abstract

  • Pain management was the most extensively documented topic
  • Morphine increasingly supplemented by oral transmucosal fentanyl citrate and ketamine; ketamine favored in austere settings
  • RA recognized as an analgesic force multiplier, never described in an explicitly palliative context
  • Limited but consistent literature on opioid titration and palliative sedation (continuous midazolam infusion) for expectant and dying casualties
  • Spiritual care and family communication important but under-formalized
  • Evidence specific to palliative and end-of-life battlefield care remains sparse, largely extrapolated from curative-care literature
  • 3,629 unique records screened

Original publication

Palliative and end-of-life care on the battlefield: a scoping review. Crit Care. Published 26 September 2026. doi:10.1186/s13054-026-06359-1

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.