Skip to main content

Military Health System

March is Brain Injury Awareness Month; TBICoE’s mission lasts all year

Image of Military health personnel performing a balance test on a patient. Military health personnel performing a balance test on a patient

Recommended Content:

Traumatic Brain Injury Center of Excellence | Brain Injury Awareness | A Head for the Future | Centers of Excellence

Navy Capt. (Dr.) Scott Pyne sees March’s Brain Injury Awareness Month as an opportunity to highlight what the Traumatic Brain Injury Center of Excellence does all year long.

A traumatic brain injury (TBI) is any blow or jolt to the head that disrupts the normal function of the brain. They can have long-lasting effects. Awareness of TBIs - how to identify them, and ways to mitigate them or seek treatment if an individual thinks they may have one - is an important element of maintaining a medically ready force.

Pyne, division chief for the Silver Spring, Maryland-based TBICoE, said that what many people may not realize about TBIs within the DOD is that they occur more often at home than while deployed.

"TBI is a big issue for the military, especially in a deployed environment, but more TBI actually occurs in the non-deployed environment," Pyne said. "It's really important to be careful about TBI and know about it when you're doing average, day-to-day things like driving your car, riding your bike or motorcycle, skiing, or playing sports."

Pyne said he's seen many changes and advancements surrounding the study and understanding of TBI during his career, and this has led to better guidance for everyone.

"I think the biggest difference is in the area of concussions or mild traumatic brain injury, and this has been pushed out to our line leaders, clinicians, patients, service members, and veterans to be aware of the effects of mild traumatic brain injury," Pyne said. "In the past, concussions happened and people knew about them, but they really didn't pay them much mind."

He said that much of the advancement in understanding TBIs is due to the number of studies that have been done on them over the past several decades, as well as developments in science and technology. This has resulted in better awareness and prevention measures.

Pyne cited an example of when he was involved in sports versus his experience with his children.

"It used to be, if you were able to play through them (brain injuries or concussions), you played through them. You were encouraged to," Pyne said. "I think we now have a whole lot more awareness that there are some problems with that, and that numerous concussions may result in some long-term problems that are difficult to bounce back from. That awareness and understanding has really changed from the time that I was young until the time that I was on the sidelines coaching my own kids."

These advancements are also translating into higher recovery rates.

"The advances that we’re making in severe and penetrating and moderate traumatic brain injury are remarkable. People who would never have recovered in the past are now able to do quite well, and that's based on advances in science," Pyne said. "We always knew it was bad, but I don't think we knew how to take care of it as well as we do now."

On the combat side, Pyne said that post-traumatic stress disorder (PTSD) and brain injuries often go hand-in-hand.

"It's very difficult to discern between the two, and I think they need to be evaluated and treated at the same time," Pyne said. "You can have PTSD without having a traumatic brain injury, and you can have a traumatic brain injury without PTSD, but sometimes they come together."

In fact, the TBICoE is studying the interaction between the two.

"We're finding that people who have an isolated traumatic brain injury do a lot better than those that have a traumatic brain injury and PTSD," Pyne said.

Military personnel in a field crotched over holding a gun
Marine Pfc. Daniel Yates, a rifleman with Bravo Company, Battalion Landing Team 1/1, 11th Marine Expeditionary Unit, provides security while conducting a patrol after a simulated airfield seizure mission during a Realistic Urban Training exercise at Marine Corps Air Station Yuma, Arizona, Feb. 21. (Photo by: Marine Sgt. Alexis Flores)

TBIs' impacts on memory and motor skills are also being studied.

"The other thing that we’ve learned quite a bit about is that when injured, people don’t function the same way as they did prior to their TBI. We know that people’s reaction time, their ability to focus, their ability to memorize things are all impacted," Pyne said."

In a combat environment these things have the potential to become life-threatening, both to an individual and those around them.

"On the athletic playing field, that may equate to you not playing well or your team not winning, but obviously the stakes are much higher in the deployed environment, where you not only have to protect yourself, but also your fellow service members," Pyne said.

"At the end of the day, if you get hit in the head and you can’t focus, think clearly, or concentrate, we need to pull you out of whatever game you’re playing, even if it's the game of life, and try to make you better," Pyne said. "So when you go back, you can go back as healthy and as close to functioning at your normal level as you were before you sustained that injury."

Pyne reiterated the fact that most TBIs occur in a non-deployed environment.

"In the DOD, the ways we think about this happening are when we're being shot at or things are blowing up, but things like standard motor vehicle crashes, falls, and sports are where we see a vast majority of concussions among service members," Pyne said.

"How do you prevent those things? You drive the speed limit, you wear a seatbelt or a helmet, and you're careful and aware of your environment."

Pyne said some key points to remember when assessing if you are “TBI-ready” include asking yourself:

  • Are you ready to prevent yourself from getting a TBI?

  • Are you ready to get yourself taken care of in the event you suffer a TBI?

  • Are you ready to take care of someone who may sustain a TBI, especially as a medical provider or a leader?

A simple bump of the head, coupled by "seeing stars," dizziness or confusion could be a concussion or TBI. The key is looking for signs and getting help if you need it.

He also said that, despite the negative discussions surrounding TBIs, most people fully recover from them.

"The vast majority of people who sustain a mild traumatic brain injury make a full recovery," Pyne said "I think we focus too much on the people who don’t get better and we tend to forget all the people who do get better."

The TBICoE also supports a multi-center network of military treatment facilities and Department of Veterans Affairs medical centers with TBI education and research initiatives. An array of resources from TBICoE are available to service members, their families and providers here on the Military Health System website.

You also may be interested in...

2022 TBICoE Annual Report

Publication
3/21/2023

The Traumatic Brain Injury Center of Excellence Annual Report provides an overview of accomplishments and activities in calendar year 2022.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DOD TBI Worldwide Numbers | TBI Provider Resources | TBI Patient and Family Resources | TBI Educators | TBICoE Research

TBICoE Research Review: Chronic Traumatic Encephalopathy

Publication
3/17/2023

The purpose of this Research Review is to summarize current peer-reviewed scientific literature and expert assessment regarding the pathology, genetic pre-disposition, causes, clinical manifestations, and neuroimaging of chronic traumatic encephalopathy.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBICoE Research | TBI Provider Resources | Provider Education | TBI Educators | TBICoE Podcasts

Back to School: A Guide to Academic Success After Traumatic Brain Injury

Publication
3/16/2023

Back to School: A Guide to Academic Success After Traumatic Brain Injury is a free resource, developed by the Traumatic Brain Injury Center of Excellence that is tailored to help service members and veterans who have sustained a TBI and are pursuing higher education. Those who have sustained a TBI may face unique challenges, and this guide provides information and resources on how to navigate higher education while still prioritizing brain health care.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Patient and Family Resources | TBI Educators | A Head for the Future | TBI Provider Resources | Be a Brain Warrior: Protect. Treat. Optimize.

Anomalous Health Incident (AHI) Acute Assessment Training

Publication
3/15/2023

This virtual training, hosted by the Traumatic Brain Injury Center of Excellence, will introduce MHS health care providers to Anomalous Health Incidents (AHI) and review assessment and treatment strategies. Detailed guidance on how to complete a medical evaluation using Anomalous Health Incident (AHI) Acute Assessment (DHA Form 244), will be provided.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Education & Training Events | TBI Provider Resources | TBI Educators

INFORMATION PAPER: The Impact of Mild Traumatic Brain Injury on the Autonomic Nervous System

Publication
3/15/2023

The purpose of this information paper by TBICoE is to provide a general overview of the current evidence related to the impact of concussion/mild traumatic brain injury (mTBI) on the autonomic nervous system (ANS). This paper will focus on heart rate variability (HRV), pupillary light reflex (PLR), and hyperhidrosis within the military and civilian populations.

Recommended Content:

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

2023 NICoE Brain Injury Awareness Month Events

Publication
2/28/2023

Downloadable PDF of the 2023 NICoE Brain Injury Awareness Month events they are hosting or participating in.

Recommended Content:

The National Intrepid Center of Excellence | Arts in Health Program | Brain Injury Awareness | Traumatic Brain Injury Center of Excellence | Be a Brain Warrior: Protect. Treat. Optimize.

FEB 2023 TBICoE Quarterly Education Series Flyer

Publication
2/8/2023

TBICoE Quarterly Education Series: TBI Across the Lifespan. Join TBICoE at this virtual event to explore clinical best practices for prevention, assessment, and treatment of mild TBI, also known as concussion, for military dependents. Download the flyer for details.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources | TBI Educators | Education & Training Events

TBICoE Brain Injury Awareness Month 2023 Events Flyer

Publication
1/29/2023

2023 Brain Injury Awareness Month training and education events hosted by the Traumatic Brain Injury Center of Excellence

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources | TBI Educators | Education & Training Events | Vision Center of Excellence

Progressive Return to Activity: Primary Care for Acute Concussion Management

Publication
1/23/2023

The Progressive Return to Activity (PRA): Primary Care for Acute Concussion Management 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.

Recommended Content:

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

DOD TBI Worldwide Numbers At-A-Glance

Publication
8/24/2022

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. The "DOD TBI Numbers At-A-Glance" provide a high level overview of TBI's sustained since 2000 and also show the data by severity and service branch.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DOD TBI Worldwide Numbers

Neuroimaging Following Mild TBI Clinical Recommendation

Publication
5/16/2022

This TBICoE clinical recommendation allows primary care managers to make an informed, evidenced-based decision regarding whether or not imaging is indicated following a concussion/mild TBI.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources

2021 Traumatic Brain Injury Center of Excellence Annual Report

Publication
4/26/2022

The 2021 Traumatic Brain Injury Center of Excellence (TBICoE) Annual Report provides a look at accomplishments and activities from calendar year 2021.

Recommended Content:

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

References and Acknowledgements: Neuroimaging Following Concussion Clinical Recommendation

Publication
4/6/2022

This document acknowledges those who participated in the expert working group with the Traumatic Brain Injury Center of Excellence and provides the resources and references used to develop the Neuroimaging Following Concussion/Mild Traumatic Brain Injury: Guidance for the Primary Care Manager.

Recommended Content:

Traumatic Brain Injury Center of Excellence

TBICoE 2021 Publications

Publication
3/16/2022

Master list of 2021 TBICoE articles published in research journals

Recommended Content:

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

Assessment and Management of Dizziness and Visual Disturbances Following Concussion/Mild Traumatic Brain Injury

Publication
10/22/2021

This clinical recommendation provides medical staff with a single, comprehensive reference for the assessment and management of dizziness and visual disturbances following mild TBI/concussion. Dizziness and visual disturbances often present with overlapping symptoms and should prompt a provider to perform a visual and dizziness—or vestibular—assessment.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources | Centers of Excellence
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 6
Refine your search
Last Updated: December 28, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery