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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.

Updated Nursing Interventions, Wound Care and Splint Management in Prolonged Casualty Care, 08 July 2025 CPG Focuses on Core Principles of Prolonged Casualty Care
The intent of this guideline is to provide non-medical and medical professionals who encounter extended casualty evacuation times in austere environments with evidence-based guidance for interventions necessary to improve casualty outcomes. Nursing Interventions, Wound Care and Splint Management in Prolonged Casualty Care, 08 July 2025 includes PCC Flowsheet, PCC Nursing Care Tracker and Nursing Skills Checklists.


Click here to read the CPG.

Nursing Intervention
JTS Publishes CPG Outlining New Practice for Whole Blood Transfusions

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.

ASBP Drop logo
Flame
Updated Burn Care CPG Now Available

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.

Read the Burn Care CPG, 10 June 2025, here.

JTS Expands Guidance in the Updated Emergency Life-Saving Cranial Procedures by Non-Neurosurgeons in Deployed Setting, 10 June 2025
  1. Updated literature reference list to reflect current evidence for the following:
    • Superior patient outcomes when neurosurgeons are directly deployed to combat area of responsibility.
    • Committee of Surgical Combat Casualty Care position statement reinforcing optimal patient management requires the deployed neurosurgeon for management of severe Traumatic Brain Injury (TBI).
    • Superior patient outcomes with ultra-early surgical intervention for severe TBI.
  2. Added two new 'synchronous' neurosurgical support tele-capabilities, including Advanced Virtual Support for Operational Forces and Navy Medicine Readiness and Training Command San Diego on-call neurosurgeon.
  3. A streamlined algorithm for clinical indications supporting cranial surgical intervention.
  4. Clarified radiographic information and CPG reference (Catastrophic Non-Survivable Brain Injury) for when NOT to perform a cranial procedure.
  5. Expanded procedural check-list for both penetrating and non-penetrating cranial injury.
JTS Updates Vascular Injury CPG

  • Contemporary epidemiology of combat vascular injuries, the impact of staged vascular care on limb salvage, and outcomes of cervical carotid injuries
  • Preparation pearls for anastomosis and anastomotic techniques
  • Endovascular inventory list has been updated to reflect items currently in use.
  • Addition of materiel list for vascular exposure and revascularization

Click here to read the CPG.

Vascular Injury CPG Infographic
Click on image to view CPG infographic
with details.
Updated Mechanical Ventilation Basics CPG Offers Detailed Guidance

JTS has updated the Mechanical Ventilation Basics CPG with more troubleshooting tips and guidance for better performance and to avoid malfunction.

Click here to read the CPG.

Mechanical Ventilation Infographic
Click on image to view CPG infographic
with details.


CCATT updates Patient Transport Guides
CCAT CPG Infographic

  • i-STAT Portable Blood Analyzer in Austere Locations, 26 Feb 2025 (Read the CPG)
  • Mechanical Ventilation During Critical Care Air Transport, 10 Mar 2025 (Read the CPG)
  • Negative Pressure Wound Therapy, 26 Feb 2025 (Read the CPG)
  • Transcutaneous and Temporary Transvenous Pacing, 26 Jan 2025 (Read the CPG)

K9 Combat Casualty Care Logo

A WarDocs Military Medical Interview with JTS Chief COL Jennifer M. Gurney, MD, FACS, Oct 2024

JTS Chief COL Jennifer M. Gurney

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.

Watch on WarDocs or YouTube

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.