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[[File:Prolonged Field Care the New Normal says Army, MRMC Brass.jpg|thumb|376x376px|U.S. Army General Barbara Holcomb delivering a keynote speech on prolonged field care at the 2017 Military Health System Research Symposium]]
'''Prolonged Casualty Care''' refers to the specialized medical care provided to individuals who have sustained injuries or illnesses in situations where immediate evacuation to a medical facility or next tier of healthcare provision is delayed, challenging, or not feasible.<ref>{{Cite journal |last1=Smith |first1=Michael |last2=Johnston |first2=K. |last3=Withnall |first3=R. |date=2021-04-01 |title=Systematic approach to delivering prolonged field care in a prehospital care environment |url=https://militaryhealth.bmj.com/content/167/2/93 |journal=BMJ Mil Health |language=en |volume=167 |issue=2 |pages=93–98 |doi=10.1136/jramc-2019-001224 |issn=2633-3767 |pmid=32111674|s2cid=211564442 }}</ref><ref name=":2" />
This concept is applicable in various contexts, including military operations, wilderness emergencies, and disaster response scenarios.<ref name=":2" /> Definitions may exhibit slight variations, but they generally convey the same fundamental meaning:<blockquote>"Field medical care, applied beyond doctrinal planning time-lines"<ref>{{Cite journal |last=Keenan |first=Sean |date=2016 |title=Deconstructing the Definition of Prolonged Field Care |url=https://prolongedfieldcare.org/wp-content/uploads/2016/01/deconstructing-prolonged-field-care.pdf |journal=Prolonged Field Care}}</ref>
"Field medical care that is applied beyond “doctrinal planning time-lines” by a tactical medical practitioner in order to decrease patient mortality and morbidity."<ref>{{Cite journal |last1=Dolan |first1=Connor P. |last2=Valerio |first2=Michael S. |last3=Lee Childers |first3=W. |last4=Goldman |first4=Stephen M. |last5=Dearth |first5=Christopher L. |date=2021-02-04 |title=Prolonged field care for traumatic extremity injuries: defining a role for biologically focused technologies |journal=npj Regenerative Medicine |language=en |volume=6 |issue=1 |page=6 |doi=10.1038/s41536-020-00117-9 |issn=2057-3995 |pmc=7862384 |pmid=33542235}}</ref>
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== Core capabilities ==
There are twelve core capabilities of Prolonged Field Care<ref name=":2" />:
# '''Monitor:''' Possess the capability to acquire, analyze, and comprehend a patient's vital signs, employing a reliable approach for precise documentation of observations.
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# '''Communication''': Establish and maintain reliable communication with operational and medical control.
[[File:Special Warfare Medical Group (Airborne) trains special-operations combat medics 120321-A-NR754-146.jpg|thumb|413x413px|'''Special Warfare Medical Group training in prehospital care, this stage would be the "ruck" stage, equipment used must be carried to the patient in a rucksack''']]
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'''N''': Nursing care; utilise the SHEEP VOMIT acronym.<ref>{{Cite web |last=Marsden |first=Max |title=https://twitter.com/MaxMarsden83/status/959041807802912768 |url=https://twitter.com/MaxMarsden83/status/959041807802912768 |access-date=2023-09-24 |website=X (formerly Twitter) |language=en}}</ref>
The second acronym, SHEEP VOMIT
'''S''': Skin protection
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A variety of terminology is used for the same concept, this is partly due to the differences between military and civilian practice. The following terms are used fairly interchangeably, but there may be specific differences between the association dogma, guidelines and protocols.
* Prolonged Prehospital Care - The [[British Armed Forces]] utilise this terminology as well as Prolonged Hospital Care.<ref name=":0" />
* Austere Emergency Care - Preferred civilian terminology relating to training and education<ref name=":2">{{Cite journal |last=O'Kelly |first=Aebhric |last2=Mallinson |first2=Tom |date=2023-09-02 |title=Prolonged field care (austere emergency care) principles in UK paramedic practice |url=http://www.magonlinelibrary.com/doi/10.12968/jpar.2023.15.9.359 |journal=Journal of Paramedic Practice |language=en |volume=15 |issue=9 |pages=359–366 |doi=10.12968/jpar.2023.15.9.359 |issn=1759-1376}}</ref>
* Prolonged Field Care - Commonly used military term
* Prolonged Casualty Care - Preferred civilian term
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