Timothy Makrides, Adam Cantrick, Andrew Maher, Pickett Jason
Unconventional warfare medicine operates in contested, resource-limited, and nonpermissive environments that challenge traditional models of combat care. Characterized by irregular forces, proxy engagements, and disrupted medical evacuation pathways, it requires clinicians to deliver prolonged, adaptable care with limited command, control, and logistics. Despite its operational significance, the field remains poorly defined, with knowledge dispersed across classified reports, practitioner experience, and fragmented literature. This gap constrains doctrine development, training, interoperability, and innovation. Emerging studies highlight themes, such as distributed treatment nodes, autonomous resuscitation, and adaptive medical structures, yet evaluative research and outcome data remain scarce. As modern conflict increasingly reflects irregular and hybrid characteristics, advancing unconventional warfare medicine is essential for future readiness. A scoping review of existing evidence can provide the first structured foundation for establishing this discipline, fostering collaboration between practitioners and researchers, and guiding capability development without compromising operational security.