RT Journal Article SR Electronic T1 Systematic approach to delivering prolonged field care in a prehospital care environment JF BMJ Military Health JO BMJ Mil Health FD British Medical Journal Publishing Group SP 93 OP 98 DO 10.1136/jramc-2019-001224 VO 167 IS 2 A1 Michael Smith A1 K Johnston A1 R Withnall YR 2021 UL http://militaryhealth.bmj.com/content/167/2/93.abstract AB Background This article describes a novel patient care algorithm which provides a Role 1 (R1) medic with a structured approach to delivering prolonged field care (PFC) in a resource-limited environment. PFC is a vital component of the operational patient care pathway providing the continuum of care from completion of a primary survey to the delivery to hospital care. Future operational environments are likely to have more fragile or extended lines of communication, potentially delaying evacuation to hospital care. This delay may lead to increases in patient morbidity and mortality. Effective PFC offers an opportunity to improve patient outcomes and help mitigate against this risk.Methods An initial prototype model of a PFC care process was developed using existing hospital-based guidance. A series of medical and trauma vignettes and best available evidence were used to refine the algorithm.Results The algorithm has been designed be used in conjunction with patient specific clinical guidance making the approach generalisable for all patient groups. For UK military, clinical guidance is provided by clinical guidelines for operations. The algorithm can be downloaded into a convenient format to be used on mobile devices or printed as an aide memoire.There are no data in this work.