The North Central Texas Trauma Regional Advisory Council (NCTTRAC) is the administrative body responsible for trauma system oversight within the bounds of Trauma Service Area (TSA) C, D, & E in Texas. TSA C includes the following counties: Archer, Baylor, Clay, Foard, Hardeman, Jack, Montague, Wichita, Wilbarger, and Young. TSA D includes the following counties: Brown, Callahan, Coleman, Comanche, Eastland, Fisher, Haskell, Jones, Knox, Mitchell, Nolan, Shackelford, Stephens, Stonewall, Taylor, and Throckmorton. TSA E includes the following counties: Cooke, Collin, Dallas, Denton, Ellis, Erath, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman, Navarro, Palo Pinto, Parker, Rockwall, Somervell, Tarrant, and Wise. NCTTRAC stakeholders are comprised of hospital, pre-hospital, and other healthcare entities with an interest in improving and organizing trauma, acute, and emergency healthcare and preparedness in North Central Texas. To achieve this, NCTTRAC offers a platform for all industry related peer groups to come together to develop and provide the region with educational offerings, data collection & analysis, as well as performance improvement (PI). We PREPARE through research, education, injury and illness prevention, and emergency management. We SUPPORT through protocol development, resources, communications, and advocacy. We RESPOND to the needs of the emergency healthcare community, partners, and the State of Texas.