Skip to main content

Military Health System

Important Notice about Pharmacy Operations

Change Healthcare Cyberattack Impact on MHS Pharmacy Operations. Read the statement to learn more. 

Marines with combined anti-armor team conduct weapon familiarization training June 3 at the North Training Area at Combined Arms Training Center Camp Fuji. It was the first time for many of the Marines to fire the AT-4 light anti-armor weapon. The Marines are with the CAAT of Weapons Company, 3rd Battalion, 6th Marine Regiment, which is currently assigned to 4th Marine Regiment, 3rd Marine Division, III Marine Expeditionary Force, under the unit deployment program. The combat correspondent captured the photo at a shutter speed of 1/160th of a second, creating a multiple-exposure effect of the AT-4 gunner, as well as capturing the dust being shaken from the Marines’ helmets as a result of the shockwave created from the concussion of the weapon’s back-blast. (U.S. Marine Corps photo by Cpl. Adam B. Miller/Released)
Skip subpage navigation

Warfighter Brain Health Hub

In June 2022, the Department of Defense launched the Warfighter Brain Health Initiative to bring together the operational and medical communities in a more unified approach toward optimizing service member brain health and countering traumatic brain injuries.

Photo of Dr. Lester Martinez-Lopez

 

Read full statement from Dr. Lester Martinez-López, Assistant Secretary of Defense for Health Affairs

Warfighter Brain Health Initiative Focus

  • Optimizing cognitive and physical performance.
  • Identifying, monitoring, and mitigating brain exposures.
  • Preventing, recognizing, and minimizing the effects of traumatic brain injury.
  • Reducing or eliminating long-term or late effects of brain injury.
  • Advancing warfighter brain health science.

Our Commitment

  • Understanding.
  • Preventing,
  • Accurately diagnosing, and
  • Promptly treating blast overpressure and its effects.

You also may be interested in...

Article
Jan 6, 2022

Tackling Concussions: NCAA-DOD CARE Consortium Battles Brain Injuries

Naval Academy football team runs onto the field

Dr. Paul Pasquina and Dr. Terry Rauch recently discussed the NCAA-DOD Concussion Assessment, Research and Education (CARE) Consortium, the largest concussion and repetitive head impact study in history, on the NCAA’s “Social Series.”

Video
Jul 22, 2021

PRA Training Video 3: Understanding Relative Rest

Thumbnail image for PRA Training video 3, understanding relative rest

In this lesson we explain the differences between complete rest and relative rest in a staged concussion recovery process, and provide examples of activities that promote relative rest. The revised Progressive Return to Activity (PRA) Clinical Recommendation uses the term 'relative rest' to emphasize the importance of early introduction of physical ...

Video
Jul 22, 2021

PRA Training Video 6: The Return to Duty Screening

Thumbnail image of PRA training video 6, the return to duty screening

In this lesson, we cover how to perform the Return to Duty, or RTD screening, which now includes both vestibular/physical and neurocognitive examinations. The purpose of the RTD screening is to objectively measure whether a service member is ready for return to full duty. Each video in the Progressive Return to Activity training series is designed ...

Video
Jul 22, 2021

PRA Training Video 8: Clinical Case Scenario

Thumbnail image of PRA training video 8, clinical case scenario.

This is an interactive clinical case scenario to test your understanding in applying the Progressive Return to Activity (PRA). We hope this will help medical providers become more familiar with the PRA process when treating service members with concussion. Each video in the PRA training series is designed to support primary care providers' ability ...

Video
Jul 22, 2021

PRA Training Video 1: PRA Overview

Thumbnail image of PRA training video 1, PRA overview.

In the first of TBICoE's Progressive Return to Activity (PRA) video training series, you will learn about the reasons for using a progressive return to activity process and receive an overview of the 2021 PRA algorithm and its associated tools. By the end of lesson one, providers will better understand the PRA process, and explain that process to ...

Video
Jul 22, 2021

PRA Training Video 5: The Six Stages of the PRA

Thumbnail image for PRA training video 5, the six stages of the PRA

In this lesson, we cover the key activity objectives for each of the six stages of the Progressive Return to Activity (PRA) Clinical Recommendation and provide activity examples for each stage. Each stage is designed to gradually increase the intensity and duration of a service member's physical and cognitive activity as they advance in the PRA ...

Video
Jul 22, 2021

PRA Training Video 2: Six Major Changes

Thumbnail image of PRA Training Video 2, Six Major Changes

In this lesson we review the six major changes in the TBICoE's revised 2021 Progressive Return to Activity (PRA) Clinical Recommendation that differ from the original recommendation. The changes reflect the latest TBI research, and will make it easier for providers to manage the recovery process and return service members with concussion to full ...

Video
Jul 22, 2021

PRA Training Video 7: Symptom-Guided Management and Specialty Referral Guidance Tables

Thumbnail image of PRA training video 7, the symptom-guided management and specialty referral guidance tables.

This lesson covers how to use the Progressive Return to Activity, or PRA's Symptom-Guided Management and Specialty Referral Guidance tables. This lesson also details primary care management strategies for service members who are not progressing as expected in the PRA. Each video in the Progressive Return to Activity training series is designed to ...

Video
Jul 22, 2021

PRA Training Video 4: PRA Progression Criteria

Thumbnail image for PRA Training video 4, PRA progression criteria

In this lesson, we review the criteria for advancing through the stages of the Progressive Return to Activity (PRA) Clinical Recommendation. Each video in the PRA training series is designed to support primary care providers' ability to manage concussion/traumatic brain injury (TBI).

Video
Feb 25, 2021

Progressive Return to Activity After Concussion Video

Progressive Return to Activity Provider Video

The PRA is an evidence-based, easy-to-use approach to help providers return service members with mild TBIs back to duty safely. TBICoE researchers have found that, if medical providers completed a two-hour, in-person training on the use of the PRA, their patients saw an overall reduction in symptoms after one week, one month, and three months, when ...

Last Updated: February 08, 2024
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery