TourniTek and the University of California at San Francisco propose to design, build, and test a portable chiller for the prolonged field care of traumatic limb injuries. Using thermal regulation, injured limbs may be preserved in the field until patients can be transported to definitive surgical care. By treating these injuries prior to surgical care, amputation and disability can be prevented. This technology will improve the range of deployment and efficiency of air evacuation of warfighters. TourniTek can be applied to injuries due to asymmetric warfare, traditional warfare, traditional tourniquet use, and REBOA use.