diff --git a/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/EmergencyApiService.java b/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/EmergencyApiService.java
index f2ce0b0..cc918ae 100644
--- a/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/EmergencyApiService.java
+++ b/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/EmergencyApiService.java
@@ -45,5 +45,10 @@ public interface EmergencyApiService {
 
     boolean addGroupUser(AddOtherMemberDTO dto);
 
+    /**
+     * 拉入关爱联络员和急救人员到群聊（兜底补拉用，失败不抛异常）
+     */
+    void addCareUsersToGroup(String userId, String groupId, String orderId);
+
     boolean removeGroupUser(RemoveGroupMemberDTO dto);
 }
diff --git a/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyApiServiceImpl.java b/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyApiServiceImpl.java
index 7038249..ad4cd76 100644
--- a/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyApiServiceImpl.java
+++ b/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyApiServiceImpl.java
@@ -1001,7 +1001,7 @@ public class EmergencyApiServiceImpl implements EmergencyApiService {
      * @param groupId IM群组ID
      * @param orderId 应急工单ID
      */
-    private void addCareUsersToGroup(String userId, String groupId, String orderId) {
+    public void addCareUsersToGroup(String userId, String groupId, String orderId) {
         try {
             // 1. 获取发起人工号
             List<BaseEmployeeInfo> employeeInfos = sysBaseAPI.queryBaseEmployeeInfo(Collections.singleton(userId));
diff --git a/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyOrderApiServiceImpl.java b/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyOrderApiServiceImpl.java
index 35b4794..463ddea 100644
--- a/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyOrderApiServiceImpl.java
+++ b/health-emergency/health-emergency-biz/src/main/java/com/renkang/emergency/api/service/impl/EmergencyOrderApiServiceImpl.java
@@ -83,6 +83,8 @@ public class EmergencyOrderApiServiceImpl implements EmergencyOrderApiService {
     private ISysBaseAPI sysBaseAPI;
     @Autowired
     private EmergencyCloudManager emergencyCloudManager;
+    @Autowired
+    private com.renkang.emergency.api.service.EmergencyApiService emergencyApiService;
 
     @Override
     public IPage<InitUserOrder> initUserOrderPage(Page<Order> page) {
@@ -735,7 +737,15 @@ public class EmergencyOrderApiServiceImpl implements EmergencyOrderApiService {
         }
         String orderId = order.getId();
 
-        // 2. 查order_operator表获取本地参与人员
+        // 2. 兜底补拉关爱联络员+急救人员1+急救人员2（重新查询安眼系统）
+        // 发起应急时这些人员可能还未注册，此处兜底
+        try {
+            emergencyApiService.addCareUsersToGroup(order.getInitiatorUserId(), sessionId, orderId);
+        } catch (Exception e) {
+            log.warn("兜底补拉关爱/急救人员异常, sessionId={}", sessionId, e);
+        }
+
+        // 3. 查order_operator表获取本地参与人员
         List<OrderOperator> orderOperators = orderOperatorMapper.selectList(
                 new LambdaQueryWrapper<OrderOperator>()
                         .eq(OrderOperator::getOrderId, orderId));
@@ -746,7 +756,7 @@ public class EmergencyOrderApiServiceImpl implements EmergencyOrderApiService {
                     .collect(Collectors.toList());
         }
 
-        // 3. 调腾讯IM获取实际群成员
+        // 4. 调腾讯IM获取实际群成员
         Set<String> imMemberAccounts = new HashSet<>();
         boolean imSuccess = false;
         try {
@@ -762,18 +772,18 @@ public class EmergencyOrderApiServiceImpl implements EmergencyOrderApiService {
             log.error("获取腾讯IM群成员失败，sessionId: {}，降级使用本地参与人员", sessionId, e);
         }
 
-        // 4. 自动补拉预设成员入群（仅IM可用时）
+        // 5. 自动补拉其他遗漏的预设成员（仅IM可用时）
         if (imSuccess) {
             autoInvitePresetMembers(sessionId, order, imMemberAccounts, localUserIds, loginUser);
         }
 
-        // 5. 如果IM调用失败，降级使用本地成员全集
+        // 6. 如果IM调用失败，降级使用本地成员全集
         final Set<String> validAccounts = imSuccess ? imMemberAccounts : new HashSet<>(localUserIds);
         if (!imSuccess) {
             log.warn("腾讯IM调用失败，降级返回本地参与人员 {} 人, sessionId: {}", localUserIds.size(), sessionId);
         }
 
-        // 6. 发起人：匹配验证集
+        // 7. 发起人：匹配验证集
         if (validAccounts.contains(order.getInitiatorUserId())) {
             handleGroupMember(groupMemberVos, orderId,
                     order.getInitiatorUserId(),
@@ -783,7 +793,7 @@ public class EmergencyOrderApiServiceImpl implements EmergencyOrderApiService {
                     1, -1);
         }
 
-        // 7. 查order_operator表，匹配验证集
+        // 8. 查order_operator表，匹配验证集
         if (CollectionUtils.isNotEmpty(orderOperators)) {
             // 查询专业用户信息
             Map<String, EmergencyProfessionUser> profUserMap = new HashMap<>();
@@ -831,7 +841,7 @@ public class EmergencyOrderApiServiceImpl implements EmergencyOrderApiService {
             }
         }
 
-        // 8. 标记本人
+        // 9. 标记本人
         String currentUserId = loginUser.getId();
         groupMemberVos.forEach(vo -> vo.setIsSelf(currentUserId.equals(vo.getUserId()) ? 1 : 0));
         return groupMemberVos;
@@ -852,7 +862,7 @@ public class EmergencyOrderApiServiceImpl implements EmergencyOrderApiService {
 
     /**
      * 自动补拉预设成员入群
-     * 预设成员：被救助人 + order_operator 中所有参与人员（操作人员、专业人员、紧急联系人、健康联络员）
+     * 预设成员：被救助人 + order_operator 所有参与人员
      * 群成员总数不超过9人
      */
     private void autoInvitePresetMembers(String sessionId, Order order, Set<String> imMemberAccounts,