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Traumatic Brain Injury

According to the Centers for Disease and Prevention (CDC), 1.7 million people are diagnosed with a brain injury each year.

What is Traumatic Brain Injury—or TBI?

TBI occurs as the result from a blow or jolt to the head that disrupts the normal function of the brain. Categories for TBI are:

  • Mild
  • Moderate
  • Severe
  • Penetrating

The most common form of TBI in the military is mild, and is also known as a concussion.

According to the Defense Health Agency Traumatic Brain Injury Center of Excellence (TBICoE), 434,618 service members have been diagnosed with a first-time TBI since 2000. The most common form of TBI in the military is mild, and is also known as a concussion. To learn more about TBI numbers, visit the DoD TBI Worldwide Numbers page.

Traumatic Brain Injury Awareness

TBI Topic Page Review Form

The Traumatic Brain Injury Center of Excellence (TBICoE) manages the content on the Health.mil Traumatic Brain Injury Topic Page for the Defense Health Agency (DHA). To submit content for review and approval to this page, Military Health System agencies and other government partners can email this form, along with attached content in a Word document, to the TBICoE website manager at dha.TBICoE@mail.mil.

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MACE 2 Provider Training Refresher

Publication
4/5/2021

This version of the MACE 2 Provider Training is a shortened refresher of the full-length training slides.

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Traumatic Brain Injury Center of Excellence | Provider Resources | TBI Educators | Traumatic Brain Injury

TBI Hot Topics Bulletin March 2021

Publication
3/24/2021

Are you a busy health care provider? Not enough time to keep up with the latest TBI research trends and news? Stay informed with the TBI Hot Topics Bulletin. TBICoE tracks the latest TBI scientific studies, advances, and discoveries most relevant to health care providers. This issue covers the fourth quarter of calendar year 2020.

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Traumatic Brain Injury Center of Excellence | TBICoE Research | Provider Resources | Traumatic Brain Injury

HEADS: Protect Your Strongest Weapon

Publication
3/11/2021

This flyer promotes awareness of the key symptoms of concussion/mild TBI.

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Traumatic Brain Injury Center of Excellence | TBI Educators | Patient and Family Resources | Traumatic Brain Injury

NICoE Brain Injury Awareness/March 2021Events

Publication
3/2/2021

The National Intrepid Center of Excellence (NICoE) is hosting a number of virtual events throughout March 2021 in observance of Brain Injury Awareness Month.

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Traumatic Brain Injury | Brain Injury Awareness Month | TBI Education and Training Events

Progressive Return to Activity Following Acute Concussion/Mild TBI Provider Training

Publication
2/23/2021

The TBICoE revised the Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury Clinical Recommendation (PRA) and this updated provider training slide deck. The trainings objectives will help providers to identify the key changes to the updated 2021 PRA; explain the rationale for using a PRA protocol for service members post-concussion; understand the criteria for progression following a concussion or mild traumatic brain injury; identify appropriate activities at each stage of progression; understand how to apply primary care management strategies and specialty referral considerations to treat concussed service members who are not progressing as expected; utilize the Tri-Service Workflow mild TBI Alternate Input Method Form to document the PRA in the Armed Forces Health Longitudinal Application.

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Progressive Return to Activity Following Acute Concussion/Mild TBI

Publication
2/23/2021

The 2021 Progressive Return to Activity (PRA) Following Acute Concussion/Mild Traumatic Brain Injury Clinical Recommendation is an evidence-based return to activity protocol for primary care managers and concussion/traumatic brain injury (TBI) clinic providers. The PRA is a six-step approach that begins after the provider performs the Military Acute Concussion Evaluation 2 (MACE 2) and diagnoses the patient with a concussion/TBI. The PRA stages start with relative rest and allow service members to gradually increase activities until they receive clearance for return to full duty or activity. In each stage, it offers general and military specific activities and options to help providers manage their patients’ primary symptom clusters. The PRA also offers recommendations on specialty referrals and handouts are available for providers to give patients and leadership.

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March 2021 Toolkit

Publication
2/22/2021

March is nationally recognized as Brain Injury Awareness Month, with the goal of increasing traumatic brain injury (TBI) awareness and improve health care providers’ ability to identify, care for, and treat all those who are affected by TBI. A TBI is a blow or jolt to the head that disrupts the normal function of the brain. According to the Defense Health Agency Traumatic Brain Injury Center of Excellence, 430,720 service members have been diagnosed with a first-time TBI since 2000. The toolkit also contains information on patient Safety Awareness Week, National Nutrition Month and many other graphics and messages you can use for holidays and observances during March.

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Progressive Return to Activity Clinical Support Tool Rehabilitation Providers

Publication
11/12/2020

This clinical support tool for rehabilitation providers details the algorithmic approach for enabling service members to return to pre-injury activity after sustaining a concussion/mild TBI. The tool is designed as a pocket-sized reference card, and supports the Progressive Return to Activity Following Acute Concussion/Mild TBI Clinical Recommendation for Rehabilitation Providers

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Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence

Progressive Return to Activity: Clinical Support Tool for Primary Care Managers

Publication
11/12/2020

This clinical support tool for primary care providers details the algorithmic approach for enabling service members to return to pre-injury activity after sustaining a concussion/mTBI. The tool is designed as a pocket-sized reference card, and supports the Progressive Return to Activity Following Acute Concussion/Mild TBI Clinical Recommendation for Primary Care Managers.

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Progressive Return to Activity Following Concussion/Mild TBI: Rehabilitation Provider

Publication
11/12/2020

This clinical recommendation for rehabilitation providers details the importance of aiding service members to progressively return to pre-injury activity and promotes the standardization of care following a concussion/mild TBI.

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2019 DoD Worldwide Numbers for TBI

Publication
9/30/2020

TBICoE is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis since 2000.

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2000-2019 DoD Worldwide Numbers for TBI

Publication
9/30/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis from 2000-2019.

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Traumatic Brain Injury | TBI Resources | Worldwide TBI Numbers | Armed Forces Health Surveillance Branch | Traumatic Brain Injury Center of Excellence | TBI Educators | Provider Resources

2008 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

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Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2007 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2012 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources
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