A mission adaptable multi-purpose, collapsible portable cart / utility table, for use in emergency response and disaster situations, camping, hunting and other outdoors activities, which carries medical rescue carts, canoes, small boats, game, or hauled cargo by hand. The portable cart / utility table can be converted to a various uses and the portable cart / utility table can be folded down and transported within a wheeled bin, backpack, hand carried bag, canoe or boat. It transports injured persons or cargo over long, rough terrain and it can broken down into a carrying position, by hand or by back. The objects being carried can be held by clamps, by fasteners, or through the use of insertions with longitudinally extending channels. An optional pivotable kickstand and / or tie rods can stabilize the cart in a position of rest. The portable cart / utility table can also be the basis of a reconfigurable, modular, expandable medical critical care point of need field installation system deployable by land, sea, and air to reach very remote and rugged regions.