Evidence map›Paper›PMID 40492833›Full record

ArticleThe journal of trauma and acute care surgery2025

The Joint Trauma System: A critical lifeline facing an uncertain future.

Reynold Henry, Jennifer Gurney, Scott Armen, Christopher D Barrett, Brian Gavitt, Philbert Van, Daniel Lammers, John McClellan, Martin Schreiber

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of trauma and acute care surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Reynold HenryFrom the Division of Acute Care Surgery (R.H., C.D.B.), University of Nebraska Medical Center, Omaha, NE; Department of Surgery (R.H., J.G., D.L., J.M., M.S.), Joint Trauma System, Uniformed Services University of the Health Sciences, Bethesda, Maryland; (J.G.); Division of Trauma, Acute Care and Critical Care Surgery (S.A.), Pennsylvania State University, Pennsylvania, PA; Division of Trauma, Surgical Critical Care and Acute Care Surgery (B.G.), University of Arizona, Tucson, Arizona; Division of Trauma, Critical Care and Acute Care Surgery (P.V.), Oregon Health & Science University, Portland, OR; and Division of Acute Care Surgery (D.L., J.M.), University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-2662-5485
Jennifer Gurney
Scott Armen
Christopher D Barrett
Brian Gavitt
Philbert Van
Daniel Lammers
John McClellan
Martin Schreiber

Funding

Using Patient-Reported Outcomes, Inflammatory Profiles, and Cardiovascular Phenogroups to Expand the Definition of Heart Failure with Preserved Ejection FractionP20GM152326 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Jason Rhede Cook · 2024 to 2026
$10.3M
Mechanisms of Complement Activation in Traumatic InjuryK08HL171936 · NHLBI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Christopher David Barrett · 2024 to 2026
$500k
NHLBI NIH HHS K08 HL171936NIGMS NIH HHS P20 GM152326
6 · The paper itself

Abstract

abstractThe Joint Trauma System (JTS) has become a cornerstone of modern trauma care, revolutionizing battlefield treatment and saving countless lives through standardized, evidence-based protocols. Its development and success are rooted in lessons learned from the wars in Iraq and Afghanistan, where fragmented systems were transformed into cohesive, high-performing networks. The JTS has influenced not only military but also civilian trauma care, fostering a symbiotic relationship that advances innovation across both sectors. Despite its proven effectiveness, a growing movement within the US military questions its relevance during peacetime, threatening its existence. This article examines the history, impact, and future of the JTS while emphasizing the critical need for civilian advocacy to preserve its role as a key enabler of military readiness and trauma care innovation.

Indexed as

Military MedicineTrauma CentersTraumatologyWounds and InjuriesAfghan Campaign 2001-ForecastingHumansUnited Statescombat casualty careJoint Trauma SystemWalker Dip

Identifiers

PMID40492833
PMCPMC13274713

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.