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Area of Science:

  • Military medicine
  • Trauma systems
  • Disaster preparedness

Background:

  • Military personnel are vulnerable to injuries from accidents, disasters, and threats during Phase Zero operations.
  • The U.S. Pacific Command (PACOM) Area of Responsibility (AOR) presents unique challenges, including maritime settings, extended evacuation times, and a lack of a defined regional Trauma System.
  • Variable adherence to trauma training and low-volume, high-risk interventions challenge trauma team competency.

Purpose of the Study:

  • To establish a Joint Theater Trauma System (JTTS) within the PACOM AOR to enhance readiness for Phase Zero trauma response.
  • To address the unique challenges of the PACOM AOR, including maritime environments and potential escalation of regional threats.
  • To adapt lessons learned from combat operations for Phase Zero trauma care.

Main Methods:

  • Application of core elements from the U.S. Central Command's JTTS to the PACOM AOR during Phase Zero.
  • Addressing information technology coordination as a critical factor in system establishment.
  • Focusing on readiness for both routine Phase Zero trauma and potential escalations.

Main Results:

  • A PACOM JTTS was successfully established, improving the region's capacity to respond to Phase Zero trauma.
  • Information technology coordination was identified as a significant hurdle that required specific attention.
  • The system aims to bolster readiness against both immediate threats and potential escalations.

Conclusions:

  • The establishment of a JTTS in PACOM enhances trauma care readiness during Phase Zero operations.
  • Lessons learned from the PACOM JTTS implementation are transferable to other Geographic Combatant Commands.
  • Developing robust trauma systems is crucial for military medical readiness in diverse operational environments.