Aiming at three issues in large-scale group decision-making (LSGDM): risk attitudes, dynamically changing roles, and dynamically adjust evaluation information of decision makers (DMs), this paper constructs an LSGDM model by considering risk attitudes and dynamically changing roles. Firstly, we introduce the concept of risk attitudes and the method of identification and creatively combine it with Decision Making Trial and Evaluation Laboratory to divide DMs into four categories including core DMs, driven DMs, independent DMs, and followers. Considering the dynamically changing roles of DMs, an adjustment method for evaluation information is proposed. Then a double recognition mechanism is developed to determine whether the consensus has been reached. Moreover, we construct a method to determine the weights of DMs. Based on the above research, an LSGDM model based on probabilistic double hierarchy linguistic term set is constructed and applied to a practical problem of the selection of emergency medical distribution schemes. Finally, a sensitivity analysis is performed to examine the impact of different adjustment coefficients on the results, and the validity of our method is further illustrated by comparative analysis.