High-quality care of the critically ill is the foundation of all disaster response efforts.1,5,8,10 However, a disaster alters basic care delivery to the critically ill, and if preparedness is inadequate, this foundation can crumble, with adverse patient outcomes. The inability to respond to an increase in patients and resource demand has been directly linked to poor outcomes in a number of disasters.3,7,11,12 Therefore, the management of medications, medical supplies, oxygen therapy, mechanical ventilation, specialized services (eg, dialysis), and ICU location is detailed extensively over these 14 articles. Methods of conservation (particularly with scarce medication and oxygen therapy), substitution, and triage are a particular focus, with the goal of optimizing patient outcomes in mass critical care. These principles are very relevant today, where the resource limitations in West Africa are hindering both patient care and outbreak management. For example, minimal ventilator requirements are described to ensure both lung-protective strategies and that high positive end-expiratory pressure can be delivered in cases of ARDS. Antibiotic and antiviral substitutions for certain disease states are suggested, along with the minimal resources needed to manage a highly contagious disease among the critically ill. With this process, the Task Force suggestions create the strongest foundation of care delivery for the individual critically ill patient during a mass critical care.