Emergency Medical Teams (EMTs) from El Salvador, Costa Rica, Guatemala, and Panama joined national authorities and regional actors in the CENTAM GUARDIAN 2026 simulation exercise, held in San Salvador from April 17–24. The exercise aimed to strengthen preparedness and response capacities for emergencies and disasters in Central America, focusing on team deployment, classification processes, and coordination aligned with the EMT Initiative in the Region of the Americas.
The simulation was coordinated by the United States Southern Command and tested response systems under a large‑scale earthquake scenario. It evaluated the full cycle of EMT operations, from activation and mobilization to deployment, operations, and demobilization. The activity included a technical preparation phase and a practical simulation, enhancing civil‑military coordination and promoting exchange among national institutions and regional teams.
The health component was led by El Salvador’s Civil Protection and Ministry of Health, with technical support from the Pan American Health Organization (PAHO). PAHO contributed to strengthening EMTs through operational standards, coordination mechanisms, and tools for health emergencies. The exercise also assessed the functionality of the Medical Information and Coordination Cell, improving information management, needs assessment, and response coordination through the Public Health Emergency Operations Center.
Key outcomes included stronger emergency decision‑making, improved national and regional coordination, and optimized patient flow across triage, stabilization, specialized care, and operational support. The event also facilitated the exchange of experiences among countries, contributing to harmonized procedures and more coordinated responses.
CENTAM GUARDIAN 2026 reaffirmed its role as a vital regional platform for preparedness and coordination, enhancing the ability of Central American countries to protect life and health during emergencies and disasters.
