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The mission of the Joint Trauma System (JTS) is to improve trauma readiness and outcomes through evidence-driven performance improvement. The JTS vision is that every Soldier, Sailor, Airman and Marine injured on the battlefield or in any theater of operations will be provided with the optimum chance for survival and maximum potential for functional recovery.
JTS supports US military performance improvement (PI) initiatives and activities by identifying, tracking and making recommendations on efforts to ensure the appropriate evaluation and treatment of injured Service members across the continuum of care, improve medic training and ensure medical readiness.
The DoDTR is the first and only DoD trauma patient registry to collect combat casualty care epidemiology, treatments and outcomes from point of injury to recovery. The DoDTR contains identified information taken from medical records, expert clinical inference, scoring and coding schematics, probability determination and PI data.
This Operational Planning Guidance (OPG) presents requirements for updating standard operating procedures for utilizing airdrops to deliver blood products to first responders and medical teams operating in austere environments, where timely evacuation of hemorrhaging patients is not always feasible. As the future combat environment moves increasingly towards Large-Scale Combat Operations (LSCO) and denied or dispersed environments, rapid resupply of blood products becomes a critical factor in maintaining warfighter lethality and survival. This OPG establishes a framework for planning, executing, and evaluating the use of aerial delivery using fixed-wing aircraft, rotary-wing aircraft, and unmanned aerial systems (UAS) to ensure rapid delivery of whole blood and packed red blood cell products to point of injury care providers.
Aerial Delivery Fresh Stored Blood Products, 01 Dec 2025
This CPG reviews the range of accepted management approaches to profound shock and post-traumatic cardiac arrest and establishes indications for considering REBOA as a hemorrhage control adjunct. It has been updated to include the addition of a treatment algorithm for the prolonged use of REBOA with partial aortic occlusion, clarifications on prolonged partial occlusion times, techniques to monitor aortic balloon pressures, ballon and sheath management during resuscitation and deployment, and balloon deflation guidelines during prolonged partial REBOA use.
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Hemorrhagic Shock, 03 Dec 2025
Click here to read the highlights of such discussion and JTS recommendations.
A WarDocs Military Medical Interview with JTS Chief COL Jennifer M. Gurney, MD, FACS, Oct 2024
The WarDocs Military Medicine Podcast spotlights JTS Chief COL Jennifer Gurney, her surgical career, and her part in helping the Department of Defense establish a global trauma care system. In the October interview, COL Gurney provides a roadmap for national trauma systems, highlighting the efforts to address both trauma and non-battle injuries. She discusses the critical role of trauma systems in optimizing combat casualty care, focusing on the "Walker Dip," a challenge in maintaining medical readiness during periods of non-conflict, and the significance of data and performance improvement in military medicine. The segment also features lessons from global trauma systems, including conflicts in Ukraine and Israel, are shaping the future of military medical care.
Check out the latest 2025 articles based on JTS' DoD Trauma Registry data and/or authored by JTS data analysts, JTS epidemiologists and JTS leaders, including prominent combat casualty surgeons and trauma care providers.
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