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This multiauthored communication gives a state-of-the-art global perspective on the increasing adoption of tele-critical care. Exponentially increasing sophistication in the deployment of Computers, Information, and Communication Technology has ensured extending the reach of limited intensivists virtually and reaching the unreached. Natural disasters, COVID-19 pandemic, and wars have made tele-intensive care a reality. Concerns and regulatory issues are being sorted out, cross-border cost-effective tele-critical care is steadily increasing Components to set up a tele-intensive care unit, and overcoming barriers is discussed. Importance of developing best practice guidelines and retraining is emphasized., Competing Interests: Disclosure The authors confirm that no competing financial interests exist and there are nil source(s) of support in the form of grants, equipment, etc., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Natural disasters are extreme events generally caused by abrupt climate change and other environmental factors. Intensive care units (ICUs) need to be prepared, because in the event of a natural disaster, the number of patients that require service stresses an already occupied facility. It is critical that personnel be able to do a proper ICU triage. Efforts have been made to prepare the health care system to be ready for a disaster. A natural disaster can disrupt the daily routine of a hospital and ICU personal need to be equipped with the necessary tools to be able to respond appropriately., (Copyright © 2019 Elsevier Inc. All rights reserved.)