Tactical Trauma Reaction and Evacuation Crossover Course (TTREX) – Team BAMC

Team Award

Recognizes a group or committee that has made a significant contribution toward achieving ENA’s mission to advance excellence in emergency care through the development of a sustainable project or program.

Brooke Army Medical Center created a program to train civilian and active duty personnel, known as Tactical Trauma Reaction and Evacuation Crossover Course. Now required training for Brooke nurses working in critical care, TTREX includes advanced skill scenarios that have been taught to more than 1,100 nurses, technicians and physicians, reaching beyond Brooke to area hospitals, police and fire departments and ambulance services.

The program has been recognized by senior military command as a sustainable tool that allows civilians to experience stressors of the battlefield while focusing on injuries and situations that translate to both military and civilian emergency medicine. Participants experience realistic simulations that incorporate helicopters, ambulances and other vehicles; night-vision goggles; high-fidelity manikins and moulage to train for severe trauma triage and medical care; resuscitation; gunshot wounds and burns; traumatic brain injuries; amputations; biological casualties and more.

The program’s team has grown from four to 23 instructors. TTREX has been credited with decreasing response time-to-care delivery, hospital-to-hospital transfers and mortality, along with increasing proper hand-offs. With its reach across departments, agencies and area hospitals, the collaboration has improved care delivery and readiness for more than 3 million people.