Joint Trauma System
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In this episode of Frontline Surgery: Mastering Military Trauma Care, host Dr. Joshua Dilday is joined by Dr. Jennifer Gurney, Chief of the Joint Trauma System (JTS), and Dr. Mike Van Gent, Chief of the Defense Committee on Trauma, to discuss the JTS and how it shapes combat casualty care from the point of injury through recovery. The conversation unpacks the JTS operational cycle of act, learn, and adjust, how clinical practice guidelines are developed and continuously updated, and why documentation and performance improvement are not bureaucratic exercises, but life-saving ones.
The episode makes a direct case for why early-career military surgeons need to understand the JTS before they deploy, not after. From weekly Thursday PI calls to real-time trauma log reviews to the growing library of nearly 90 CPGs, the JTS is the infrastructure behind every good outcome on the battlefield. As Dr. Gurney puts it: if you take care of combat casualties and you write it down, you are already part of the system.
Literature Mentioned:
JTS CPG: Damage Control Resuscitation
JTS CPG: Damage Control Resuscitation in Prolonged Field Care
JTS CPG: Prehospital Blood Transfusion