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This study presents a design concept for a multi-configuration modular medical evacuation fixture that can be used to retrofit standard utility vehicles for emergency medical transport. The fixture has been designed so that when installed in a vehicle and configured for litter transport, it provides mounting structure for a single patient on a North Atlantic Treaty Organisation (NATO) style litter as well as for a variety of emergency medical equipment. When installed in a vehicle and configured for ambulatory patient transport, the device provides safe seating for multiple patients as well as mounting surfaces for medical equipment. When not installed, the fixture can be collapsed for ease of shipping and warehousing. A survey of potential host vehicles was conducted to evaluate the feasibility of the proposed design. Given a preliminary concept, factors such as expected patient anthropometry, and physical data of medical equipment were used to perform basic structural analyses.