Given their increasing environmental and health harms, it is crucial to develop green and sustainable techniques for scavenging antibiotics represented by oxytetracycline (OTC) from wastewater. In the present work, a structurally simple lanthanum-calcium dual crosslinked carboxymethyl chitosan (CMCS-La3+-Ca2+) aerogel was innovatively synthesized for adsorptive removal of OTC. It was found that CMCS and La3+ sites collaboratively participated in OTC elimination, and OTC removal peaked over the wide pH range of 4–7. The process of OTC sorption was better described by the pseudo-second-order kinetic model and Redlich-Peterson model, and the saturated uptake amount toward OTC was up to 580.91 mg/g at 303 K, which was comparable to the bulk of previous records. The as-fabricated composite also exerted exceptional capture capacity toward OTC in consecutive adsorption-desorption runs and high-salinity wastewater. Amazingly, its packed column continuously ran for over 60 h with a dynamic uptake amount of 215.21 mg/g until the adsorption was saturated, illustrating its great potential in scale-up applications. Mechanism studies demonstrated that multifarious spatially-isolated reactive sites of CMCS-La3+-Ca2+ cooperatively involved in OTC capture via multi-mechanisms, such as n-π EDA interaction, H-bonding, La3+-complexation, and cation-π bonding. All the above superiorities endow it as a promising adsorbent for OTC-containing wastewater decontamination.