What happens when evacuation is delayed, transport is unavailable, or resources are hours away? This session covers the essentials of prolonged patient field care, where providers must stabilize, monitor, and manage patients beyond the usual EMS timeline. Using case-driven discussion and real-world examples, participants will learn practical strategies for prioritizing interventions, improvising with limited resources, and making evacuation decisions under pressure. Attendees will leave with a structured, evidence-based framework to improve outcomes in austere, rural, or resource-limited environments.