A wearable hands-free casualty extraction system includes a left shoulder strap, a right shoulder strap, a securing band, and a connector strap that allow the system to be worn and secured on the body. The system is hands-free and enables evacuators to perform crucial tasks such as returning fire while evacuating a wounded casualty. A first strap mount, a second strap mount, a first extraction strap, and a second extraction strap enable the system to be tethered to an evacuator during extraction. The system may include a third strap mount, a fourth strap mount, a third extraction strap, and a fourth extraction strap for further tethering capability. The system includes a first tourniquet strap and a second tourniquet strap that are worn around the legs for rapid application to a wound. The system may be tethered at the shoulders as well as at the hips.