Nearly normal mobility and quality of life, during the treatment of severe surface wounds are supported by the addition of a unique combination of common medical treatment materials with a locally applied body cast. Features of the structure and corresponding kit include off loading and physical protection of the treatment area, evenly applied pressure to maintain a hydrostatically stable environment to promote healing, easy access to the treatment area without removal of most of the structure in addition to the use of readily available inexpensive and space conserving materials for sensitivity to medical cost control and treatment for patients in the developing world, battlefield and other hostile environments.