The R-SICK was specifically designed as a flexible austere and prolonged field care surgical instrument storage and recovery system tray sequentially set up to prepare the proceduralists for rapid incision, spreading, damage control, and closure. Complex, emergent procedures surgical airways, hemorrhage control, field amputation, and REBOA are catalysts to the R-SICK design; however, the demand for rapidly-deployable field instruments has always existed. The R-SICK was created for operator personalization and to facilitate mitigation of time-sensitive injuries. The R-SICK was designed with mission ready materials needed for the difficulties that lie ahead. Available in both Floor Grade and OR Grade quality instruments that can be sterilized by the clinician as needed.