DoD Trauma Resiliency Immersive Adaptive Gaming Environment (TRIAGE) Award | W81XWH 18 S MSI1

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The DoD Trauma Resiliency Immersive Adaptive Gaming Environment (TRIAGE) Award was a Fiscal Year 2018 Department of Defense research funding opportunity aimed at improving how military medical personnel are trained to perform under pressure. The program sought proposals to develop and evaluate an innovative, virtual, immersive gaming based training protocol made up of interoperable components. In practical terms, the DoD was looking for proof of concept models that could plug into or work alongside broader medical simulation ecosystems, rather than standalone one off demos. The end goal was to strengthen medical care provider readiness and resiliency by measurably increasing performance, adaptability, and agility when providers face high stress, chaotic, time sensitive situations.

A central focus of the TRIAGE Award was the set of operational environments described as Roles of Care 1 through 3, which broadly represent the continuum from point of injury and forward care through progressively more capable treatment facilities. The training concepts supported by this award were expected to be relevant across that continuum, meaning the resulting models should make sense for different care settings and escalation levels, not just a single niche scenario. The opportunity emphasized stress inducing contexts because the capability gap being addressed was the need for better pre deployment resiliency training that helps providers maintain high performance under pressure, not simply rehearse clinical procedures in calm, ideal conditions.

Programmatically, TRIAGE was positioned within the Defense Health Agency (DHA) Warfighter Preparation, Resilience, Enhancement and Protection (WarPREP) program and aligned to the JPC 1/MSIS Medical Simulation (Med Sim) portfolio. That framing signals that the DoD’s interest was not only in technical novelty but also in outcomes that matter to operational medical readiness: training solutions that can help clinicians and teams function effectively despite fatigue, uncertainty, cognitive load, stress reactions, and rapidly changing conditions. While the primary audience was the military medical training community, the solicitation also noted that solutions should have applicability to civilian groups, reflecting the shared need for high reliability performance in civilian trauma care, emergency medicine, disaster response, and similar high consequence settings.

From an administrative standpoint, the opportunity was issued by the Department of Defense, Department of the Army, through the U.S. Army Medical Research Acquisition Activity (USAMRAA). It was listed as a discretionary funding opportunity under the science and technology and research and development category and associated with CFDA number 12.420. The solicitation allowed for multiple potential funding instruments (including cooperative agreements, grants, and procurement contracts), and eligibility was described as unrestricted, meaning the competition was open to a wide range of applicant types subject to any additional limits in the full announcement. The posting indicated an expected two awards. The announcement was created May 21, 2018, with an original closing date of September 17, 2018; the award ceiling was not specified in the summary data provided.

Overall, the TRIAGE Award can be understood as a targeted investment in immersive, game enabled, interoperable medical simulation approaches designed to harden clinician and team performance for real world stress, especially in the early and mid echelons of combat casualty care. Rather than funding basic research alone, it emphasized building and testing actionable training protocols and proof of concept models that could plausibly transition into the military’s training enterprise and also translate to comparable civilian high stress medical environments.

• The Department of Defense, Dept. of the Army -- USAMRAA in the science and technology and other research and development sector is offering a public funding opportunity titled "DoD Trauma Resiliency Immersive Adaptive Gaming Environment (TRIAGE) Award" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 12.420.
• This funding opportunity was created on May 21, 2018.
• Applicants must submit their applications by Sep 17, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• The number of recipients for this funding is limited to 2 candidate(s).
• Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.

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