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Mobile Hospital
JTS Mission

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.

Critical Care Air Transport Team Unloading
Performance Improvement

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.

Naval Weapons Station Trauma
Trauma Registry

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.

Army Medical Field Training
JTS Operations

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.

Knowledge is Power

Tune into the JTS Combat Casualty Care Conference every Thursday and learn lifesaving trauma care guidance and techniques. Upcoming topics are featured in the flyer(s).

Click here to join the conference.

Sept 12 Microvascular CCCC Presentation
JTS Has Published Part 3 of its Chemical, Biological, Radiological and Nuclear (CBRN) Series
The CBRN Injury Response Part 3: Medical Management of Radiation Exposure and Nuclear Events Clinical Practice Guideline (CPG) provides guidance for the recognition, decontamination, treatment, and triage of suspected or confirmed irradiated and/or contaminated patients who are exposed to alpha, beta, gamma, neutron, and x-ray ionizing radiation. The CPG is intended for use with Tactical Combat Casualty Care Guidelines. It includes several helpful resources, including:

  • Current USFDA radiation countermeasures and those under development
  • Radiation casualty care pathway/algorithm
  • Appropriate personal protective equipment
  • New JTS Supplemental CBRN Documentation Form

Click here to learn the latest on radiation exposure.
CBRN Injury Response Part 3

New Operational Guidance for the Use of Frozen and Deglycerolized Red Blood Cells.

Frozen red blood cells are critical in the military trauma system to maintain blood reserves in challenging operational environments. The updated Frozen and Deglycerolized Red Blood Cells CPG outlines the clinical and operational limitations to using frozen red cells and how to successfully employ frozen and deglycerolized red blood cells.

Click here to read more.

Updated JTS High Bilateral Amputations and Dismounted Complex Blast Injury (DBCI) CPG features initial transfusion requirements and resuscitation guidelines.

DCBI represents one of the most challenging cohorts of surgical patients to manage from time of initial injury through definitive reconstruction. These injuries are associated with a high incidence of both physical and psychological morbidity, as well as mortality. Survival is initially contingent upon rapid hemorrhage control and massive transfusion being delivered. Learn the best techniques and treatments to manage these injuries.

Click here to read more.


DHA Selects JTS to Verify MTF Trauma Care Readiness

New JTS branch facilitates the trauma center verification process.

The Trauma System Support & Consultation (TSS&C) Branch provides military medical treatment facility (MTF) leadership the support they need to raise their level of readiness and trauma care for both new and existing centers. JTS trauma care experts prepare centers new to the verification process in developing their processes and policies to successfully achieve trauma center status according to American College of Surgeons (ACS) standards. TSS&C works with established trauma centers to assure their programs are continuously up to date with ACS trauma center standards and to assist in preparation for re-verification.

  • Assess optimal trauma care center level.
  • Perform a gap analysis to assess the requirements to elevate an MTF to a trauma care center.
  • Guide the development of the MTF's Performance Improvement Program.
  • Advise the MTF on staffing requirements to meet verification standards.
  • Assess local and regional trauma systems and advise optimal plan.

The Trauma System Support & Consultation branch is led by COL (ret) Stephen Flaherty, MD, FACS and is supported by the breadth of the JTS to include data scientists and the performance improvement branch.




The prompt movement of patients to the required level of clinical care is essential to prevent morbidity and mortality. The En Route Care (ERC) Patient Packaging, 20 Aug 2024 CPG is a ready resource for those responsible for preparing a patient for en route care to prepare patients for evacuation to ensure the safe transport of casualties during evacuation to definitive care.

The ERC CPG addresses the requirements defined in Joint Publication (JP) 1-02, Department of Defense (DoD) Dictionary of Military and Associated Terms and JP 4-02 for transitory medical care, patient holding, and staging capabilities from the point of injury or onset of disease throughout the continuum of care.

DoD Trauma Registry
Data in Action

Discover how DoD Trauma Registry (DoDTR) data saves lives on and off the battlefield through innovative techniques, devices, and medical interventions. Check out journal studies authored by data analysts, epidemiologists and prominent combat casualty surgeons and trauma care providers. The studies are based on actionable DoDTR data to improve patient care and close gaps in care. Titles include:

  • Interventions associated with survival after prehospital intubation in the deployed combat setting, The American Journal of Emergency Medicine May 2024.
  • An assessment of clinical accuracy of vital sign–based triage tools among U.S. and coalition forces, Military Medicine, 2024.
  • Traumatic lower extremity amputation as a risk factor for venous thromboembolism, The American Journal of Surgery, Feb 2024.
  • Analysis of the U.S. Military trauma system in accordance with doctrinal levels of warfare, Military Medicine, Feb 2023.

Emergency War Surgery
Course Lectures

Check out the Emergency War Surgery Course lectures, the presentations based off the evidence-based JTS clinical practice guidelines.