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Mild Traumatic Brain Injury

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					Mild Traumatic Brain Injury
Information for Returning
     Service Members
 What do They Have In
      Common?
• Ryan Church-New York Mets
 outfielder

• George Clooney- actor/director
• Ben Roethlisberger-Pittsburgh
 Steelers quarterback

• Mike Wallace-journalist
         Answer:
• They have had one or more
  mild traumatic brain injuries
  (concussions)
• They received medical and
  rehabilitation help and
  support
• They returned to work
  What is Traumatic Brain
          Injury?
“…..is caused by a blow to the head or a
 penetrating head injury that disrupts the
normal function of the brain. Not all blows
  or jolts to the head result in a TBI. The
 severity of a TBI may range from “mild,”
     a brief change in mental status or
 consciousness to “severe,” an extended
  period of unconsciousness or amnesia
                  after injury”
  Centers for Disease Control & Prevention
 Mild Brain Injury is the most common
  type of Brain Injury among civilians
           and service members
• About 80% of all civilian traumatic brain
  injuries are mild (CDC 2009)
• An estimated 11-20% of service
  members sustained a mild
  TBI/concussion while serving in
  OEF/OIF (US Army Surgeon General
  2008, Hoge, et. al. 2008, Taneilian and
  Jaycox 2008)
                  Causes
• Civilians; Falls, Motor vehicle accidents,
  assaults, struck by/against events (CDC
  2009)
• Service Members (injured in combat);
  Blast exposure, gunshot wounds, falls
  and motor vehicle accidents (Defense and
  Veterans Brain Injury Center 2009)
       Question:
Does a person always get
 “knocked out” or loose
consciousness when they
   have a brain injury?
            Answer:
              No!!
      They may however
    experience a period of
feeling dazed, they may look
  fine, but their brains have
been knocked “off line” and
 are unable to lay down new
          memories
For Example…..
“That first morning, wow, I didn’t want
to move, I was thankful that nothing’s
    broken, but my brain was all
              scrambled”
          Ryan Church, New York Times 3/10/08


     “All he remembers from the collision
     with Anderson is the aftermath, being
       helped off the field by two people,
    although he said he did not know who
     they were until he saw a photograph
         later” Ben Shpigel New York Times reporter
  Signs of Mild Traumatic brain
              Injury
                     Early Signs
• confusion
• blank staring
• decreased response time for directions
  and/or answering questions
• dizziness/sensitivity to light and/or sound
• vomiting
• headache
              BIAA, Brain Injury Source Summer 2000, Vol.4, Issue
• nausea      2, 30-37
For many, the symptoms go
away within hours or days.

   If they do not and/or an
individual gets another mild
 traumatic brain injury they
 may experience additional
         symptoms….
    Signs of Mild Traumatic brain
                Injury
                       Late Signs
•   Persistent headache             • Decreased memory
•   Poor attention                  • Sleep disturbances
•   Irritability/aggression         • Fatigue and anxiety
•   Hearing problems                • Blurry vision/visual
•   Ringing in the ears               problems
•   Restlessness                    • Lightheadedness
•   Depressed mood                  • Difficulty making
                                      decisions
         BIAA, Brain Injury Source Summer 2000, Vol.4, Issue
         2, 30-37
When to seek help...
If things that have always come easily
     to you, are harder, take longer,
especially if your ability to multi-task is
   not what it was prior to the incident
                   and/or
 your family, friends, fellow soldiers or
   superiors comment negatively on
       performance of duties, your
responsiveness to new situations and
         ability to communicate.
 Per Army Behavioral Health,
 individuals concerned about
   lingering symptoms can...
• Speak to a chaplain
• Go to their installation Department of
  Behavioral Health or Community or Division
  Mental Health
  (www.behavioralhealth.army.mil) as well as...
• Thoroughly respond to the questions asked
  in the Post-Deployment Health Assessment
  (PDHA). Several items screen for possible
  traumatic brain injury
    The Good News, with
treatment and time the brain
         can heal!
          Suggested
    services/strategies may
           include...
• Consultation with a neurologist and or a
  neuropsychologist
• Work with a speech, occupational, and or
  physical therapist as recommended by
  medical personnel
• Scheduling breaks/down time
• Minimize alcohol intake as it can depress
  brain cell growth/regeneration after injury
• Follow physician's recommendations for
  physical exercise-it supports brain health
             Resources
• Defense and Veterans Brain Injury Center 1-800-870-
  9244 www.dvbic.org. Check out video Survive, Thrive
  & Alive on brain injury and treatment and recovery of
  several injured service members.
• Brain Injury Association of America 703-236-6000,
  www.biausa.org
• Brain Injury Association of Maryland 410-448-2924,
  www.biamd.org
• Ohio Valley Center For Brain Injury Prevention and
  Rehabilitation, 614-293-3802, www.ohiovalley.org.
• www.headinjury.com. Good resource for memory
  aides and tips
      A Product of the Maryland TBI
  Partnership Implementation Project, a
collaborative effort between the Maryland
   Mental Hygiene Administration, the
       Mental Health Management
   Agency of Frederick County and the
 Howard County Mental Health Authority
                2006-2009
   Support is provided in part by project H21MC06759 from the
    Maternal and Child Health Bureau (title V, Social Security
      Act), Health Resources and Services Administration,
            Department of Health and Human Service

    This is in the public domain. Please duplicate and
                     distribute widely
    Anastasia Edmonston
      Project Director

aedmonston@dhmh.state.md.us
       410-402-8478

				
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posted:11/29/2011
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