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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.
As the DoD Center of Excellence for MHS trauma care delivery, JTS directly assists each Combatant Command in trauma system planning, treatment, management, and improvement of casualty outcomes to include battle injuries, disease non-battle injuries and all-hazard settings through evidence-driven performance improvement.
The Transfusion of Type A Whole Blood for the Role 3, 30 May 2025, provides guidance on the expanded use of type specific, particularly Type A WB. This CPG, jointly developed by the JTS and the Armed Services Blood (ASBP), is meant to inform, educate, and guide on the expanded practice of including ASBP provisioned Type A Whole Blood to the deployed environment. This is a new practice for the DoD's deployed trauma system and is being adopted by the ASBP and the JTS in anticipation of blood shortages in the future and for contingency planning.
Read the Transfusion of Type A Whole Blood for the Role 3, 30 May 2025 here.
The future operating environment with delayed evacuation will have additional challenges and may require more burn casualties to remain in the area of operations. Optimal care requires a concerted effort on the part of all providers along this continuum – documentation is essential in burn management, especially resuscitation documentation. This CPG offers guidance and recommendations for care of burn casualties in the deployed or austere settings. Updates include the enteral resuscitation protocol which outlines the steps for delivering fluids and electrolytes through the digestive system to restore fluid balance and stabilize a patient's condition.
JTS has updated the Mechanical Ventilation Basics CPG with more troubleshooting tips and guidance for better performance and to avoid malfunction.
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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