Thursday, March 11, 2010

Traumatic Brain Injuries in the Military

by The Usual Suspect


Here is a nice sizzling plate of sweet bacon-ey information brought to us by Chelsea Travers:


Traumatic brain injury (TBI) is becoming a common wound of modern warfare. It has even been coined the “signature wound” of the War on Terror. While TBI is becoming more prevalent in wartime activity, many service men and women continue to go undiagnosed. Institutions, like the US Department of Veterans Affairs, are working to make quick and accurate diagnoses in order to prescribe appropriate and effective treatment.


TBI is caused by forced trauma to the head, either by being shaken or hit. The severity of a TBI varies from case to case, but symptoms range from mild concussions to a debilitating state. The majority of TBI’s acquired by military personnel are classified as mild traumatic brain injuries (MTBI). Initial symptoms of MTBI consist of loss of consciousness, disorientation, loss of memory, headache, and temporary loss of hearing and vision. They are often partnered with anxiety, irritability, difficulties processing information, limited concentration amongst other problems experienced down the road. While MTBI is most common amongst the men and women of the armed forces, more severe cases of TBI are happening much more frequently and often require the victim to attended specialty rehabilitative nursing centers, like CareMeridian.


The most common cause of a TBI in the military is due to blasts. There are three degrees of blast injuries where a TBI is common; Primary (due to blast itself), Secondary (due to objects being propelled by a blast) and Tertiary (due to a collision with a third party object). According to the Veterans Health Initiative, active male members of the military from the ages 18-24 are hospitalized with a TBI at a rate of 231 per 100,000 and females 150 per 100,000. Based on military force projections this would mean that 4,141 military personnel are hospitalized on average each year with a TBI, and these numbers often rise during wartimes.


The best prevention for veterans to avert the long-term effects of a brain injury is to recognize the symptoms of a TBI. Once the symptoms are identified an individual should take basic precautionary measures in order to begin the healing and recovery process until a more specific diagnosis can be made.


Service men and women give so much to protect this country and they deserve to come home to a happy and healthy life. Creating awareness about TBI will help ensure their long term health. By helping our veterans, their friends and their families recognize the early warning signs of a TBI, treatment can be sought as early as possible.

11 comments:

membrain said...

Good post and very important. You spoke once about knowing what it was like to feel the concussion from an explosion go through your body. That happens so often in this war that a lot of guys don't realize that getting your bell rung can have long term affects.

Thanks.

Shari said...

A very close friend served 2 tours in Iraq with the NG and twice his Humvee directly hit IEDs. I am only 1 of 2 civilians that he has ever shown the pictures of what remained of the trucks after the explosion. From seeing the pictures how he is alive today I do not know, its truly a miracle. Both times he lost consciousness and ruptured his eardrums. Since then he has suffered ringing in the ears, frequent headaches, loss of memory, and anxiety. When he redeployed at first they wanted to med-hold him. They managed to let him go home, provided he sought out VA treatment at home. Well in the great wisdom of the VA, they did manage to diagnose him with chronic PTSD (he has a 40% disability rating), but completely dismissed the TBI even though the symptoms are all there and he was in multiple documented traumatic events. Its really nice the way the VA can say one thing.. but then does nothing to actually help and follow through.

I hope others actually do get the help they need. Its been a long year since he returned.

Pattie Matheson said...

Yup, I agree with membrain.

And here's the rub: People don't seem to care about what happens to the troops because so few are touched by it. How many were even aware of TBI until Bob Woodward was severely injured, recovered, and began a campaign with his wife to show what our troops are suffering. When a celebrity gets hurt suddenly people pay attention. As long as it's in their face. Unfortunately it's not the kind of story that has legs, tho it should be. When we see Mr Woodward on TV we marvel at his recovery but few realize our vets don't all get the quality of care/treatment he did. I'd go so far as to say that very few get the kind of treatment he did. I hope I'm wrong. God(s) bless the Woodwards for what they're doing to help our vets.

My interest in the VA system stems from the two veterans in my family. It seems to be the luck of the draw as far as quality treatment goes. My son has nothing good to say about the VA. On the other hand, my father (now 86) who receives treatment at the VA in Tucson is one of the lucky ones. Fabulous doctors, an amazing tracking system, and attention to DETAIL. At some point someone along the line felt his disability % was too low. He was contacted (much to his surprise), re-evaluated and his disability adjusted because as they age, our veterans develop additional problems stemming from the original disability.

"... Initial symptoms of MTBI consist of loss of consciousness, disorientation, loss of memory, headache, and temporary loss of hearing and vision. They are often partnered with anxiety, irritability, difficulties processing information, limited concentration amongst other problems experienced down the road..." With the obvious exceptions - loss of consciousness, temporary loss of hearing/vision - some of the rest of it sounds like me. All of the rest of it sounds like my father. The list on one of your links was amazing. It was all there - the problems of aging but the result of brain injury. I wonder how they compare?

What happens to all the men and women who have problems associated with aging in their 20's? Hopefully the younger brain has better recuperative abilities. How much quality research is being done in the area? My guess is that it will take a tragic injury to a senators son or daughter (and how many of them are even out there fighting?) to get the ball rolling consistently with sufficient funding for research and quality care. Sounds pretty pessimistic, I know. But it gives me hope that the VA realizes that problems stemming from TBI are likely to follow our veterans forever. AND, it gives me hope that young veterans are getting involved politically. The value of their input is without measure. We want the best for our veterans, our government should too. Politicians should not just say they care, they should show they care.

Talk is easy. Action is proof.

Anonymous said...

This disability is also underrated because the symptoms of lowered functioning, irritability, and concentration issues are often assumed to be psychological issues... my limited understanding is the actual brain is caused by CO2 bubbles somehow created in the brain by sound concussion. We have no clue what the healing rate will be on this stuff... Suspect, I have to hand it to you once again for attempting once more to figure out what the hell is going on. z

Anonymous said...

I meant "actual brain injury." Silly me.

NUGHT said...

Ive heard about TBI but was completely unaware that the symptoms included irritability, anxiety...

I remember the first time my truck was hit by an IED.... I was completely diorientated, and for about the first minute or two after the blast i couldnt really hear anything.... I also had a headache from slamming my head into the gunners hatch...

I currently am much more irrtable then i ever was, and I most definately have anxiety issues... at the time i attributed the symptoms to a POSSIBLE mild concussion, but never went to get checked out...

This is a little bit of an eye opener... I'm not saying I have or had MTBI, but now I think i may be possible... who the hell knows right????

NUGHT said...

hey suspect, this should be right up your alley.... i cant stop watching it...

http://www.youtube.com/watch?v=A5tRNs2X5Q4

Anonymous said...

Here ya go http://www.vawatchdog.org/08/nf08/nfdec08/nf121908-5.htm
The Onion film was funny! z

bigD said...

Hi Suspect,
Just droppin' my two cents. Traumatic brain injury is nothing to put on the back burner. As medical research into the brain and the effect of concussive injuries continues to advance, new evidence is being brought forth of the damaging and long term effects of such injuries. Shearing forces on the brain in a closed box (the skull) are BAD! Any soldier who has been involved in an IED explosion qualifies for a concussive injury in my medical opinion. Since the the majority of deaths and traumatic injuries in the wars in Iraq and Afghanistan can be linked to IED's, the full impact on our soldiers and their brains will be unfolding for some time to come. That is why I support the work of groups like the Wounded Warrior Project and the IAVA who are doing a lot of great work to keep veterans issues out there in the public and political arenas.

God(s) bless you Ryan. I hope you are hanging tough. You are ever in my thoughts and prayers.

lorraine said...

Hi Suspect: I was reading another blog - Back In the Army Now (at 54) - he had a bicycle accident between his reenlistment and actually getting in. I won't go into his whole story - you can read it yourself if interested, but he came across the book below regarding, among other things TBI. You may want to check it out. You may have already seen it but if not - here it is. Take care of yourself,love lorraine


"Once a Warrior Always a Warrior" by Charles W. Hoge, MD, Col. USA ret

indiafox33 said...

I recently got an LOD through from one of my NCO's that suffered this (MTBI)...4 YEARS AGO!
I researched this extensively...it is very real and needs to recognized and treated...
The Army let down my particular soldier for close to 4 years, and my assesment was scathing and landed me in some hot water.
This soldier is now being recognized and treated, which should have been done years ago.

God Bless

LT K