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Current Treatment Options in Neurology
Erschienen in: Current Treatment Options in Neurology 9/2014

01.09.2014 | Traumatic Brain Injury (JR Couch, Section Editor)

Management of Acute Concussion in a Deployed Military Setting

verfasst von: Michael A. L. Johnson, MD, Jason S. Hawley, MD, Brett J. Theeler, MD

Erschienen in: Current Treatment Options in Neurology | Ausgabe 9/2014

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Opinion statement

The DoD has established clinical guidelines and policies creating a system of care for the management of battlefield concussion. Within these instructions, medical providers have standardized guidance for screening and diagnosing concussion, along with guidelines for treating common concussion symptoms. Underlying these policies is the principle that concussion is an important injury, and SMs need to be removed from combat during the acute period to ensure full recovery before return to duty. As our understanding of concussion advances, the DoD will incorporate these advances into the current system of care, ensuring that SMs have the highest level of care possible for concussions sustained on the battlefield.
Literatur
1.
2.
Marshall KR, Holland SL, Meyer KS, Martin EM, Wilmore M, Grimes JB. Mild traumatic brain injury screening, diagnosis, and treatment. Mil Med. 2012;177(8S):67–75.PubMedCrossRef
3.
Skopp, NA et al. Relations between suicide and Traumatic Brain Injury, Psychiatric diagnosis and Relationship problems, active component, U.S. Armed Forces, 2001-2009. Medical Surveillance Monthly Report (MSMR). Feb 2012. Vol 19 num 2.
4.
5.
Sayer NA, Cifu DX, McNamee S, et al. Rehabilitation needs of combat-injured service members admitted to the VA Polytrauma Rehabilitation Centers: the role of PM&R in the care of wounded warriors. PM&R. 2009;1(1):23–8.CrossRef
6.
Mallonee S, Shariat S, Stennies G, Waxweiler R, Hogan D, Jordan F. Physical injuries and fatalities resulting from the Oklahoma City bombing. JAMA. 1996;276(5):382–7.PubMedCrossRef
7.
Cernak I, Noble-Haeusslein LJ. Traumatic brain injury: an overview of pathobiology with emphasis on military populations. J Cereb Blood Flow Metab. 2010;30(2):255–66.PubMedCentralPubMedCrossRef
8.
Ling G, Bandak F, Armonda R, Grant G, Ecklund J. Explosive blast neurotrauma. J Neurotrauma. 2009;26(6):815–25.PubMedCrossRef
9.
Lew HL, Garvert DW, Pogoda TK, et al. Auditory and visual impairments in patients with blast-related traumatic brain injury: Effect of dual sensory impairment on Functional Independence Measure. J Rehabil Res Dev. 2009;46(6):819–26.PubMedCrossRef
10.
Wang Y, Chan RC, Deng Y. Examination of postconcussion-like symptoms in healthy university students: relationships to subjective and objective neuropsychological function performance. Arch Clin Neuropsychol. 2006;21(4):339–47.PubMedCrossRef
11.
Landre N, Poppe CJ, Davis N, Schmaus B, Hobbs SE. Cognitive functioning and postconcussive symptoms in trauma patients with and without mild TBI. Arch Clin Neuropsychol. 2006;21(4):255–73.PubMedCrossRef
12.
McCrea M, Pliskin N, Barth J, Cox D, Fink J, French L, et al. Official position of the military TBI task force on the role of neuropsychological and rehabilitation psychology in the evaluation, management, and research of military veterans with traumatic brain injury. Clin Neuropsychol. 2008;22(1):10–26.PubMedCrossRef
13.
Hoge CW, McGurk D, Thomas JL, et al. Mild Traumatic Brain Injury in U.S. soldiers returning from Iraq. N Engl J Med. 2008;358(5):453–63.PubMedCrossRef
14.
Gaylord KM, Cooper DB, Mercado JM, et al. Incidence of Posttraumatic Stress Disorder and mild Traumatic Brain Injury in Burned Service Members: Preliminary Report. J Trauma. 2008;64(Feb suppl):S200–6.PubMedCrossRef
15.
Mooney G, Speed J, Sheppard S. Factors related to recovery after mild traumatic brain injury. Brain Inj. 2005;19(12):975–87.PubMedCrossRef
16.
Knuth TLP, Ling G, Moores LE, Rhee P, Tauber D, Trask A. Guidelines for the Field Management of Combat-Related Head Trauma. New York: Brain Trauma Foundation; 2005. p. 1–95.
17.•
18.••
DoD Instruction 6490.11, “DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting, September 18, 2012. The DoDI established as standardized algorithm for identification, treatment, and return-to-duty guidelines for concussions in deployed United States military personnel.
19.
Zollman FS. Manual of Traumatic Brain Injury management. Special considerations for military personnel: unique aspects of blast injury. New York: Demos Medical Publishing; 2011. p. 417–24.
20.
Iverson GL. Misdiagnosis of the persistent postconcussion syndrome in patients with depression. Arch Clin Neuropsychol. 2006;21(4):303–10.PubMedCrossRef
21.
Carlson KF, Kehle SM, Meis LA, et al. Prevalence, Assessment, and Treatment of Mild Traumatic Brian Injury and Posttraumatic Stress Disorder: A Systematic Review of Evidence. J Head Trauma Rehabil. 2011;26(2):103–15.PubMedCrossRef
22.
McCrea M, Iverson GL, McAllister TW, Hammeke TA, Powell MR, Barr WB, et al. An integrated review of recovery after mild traumatic brain injury (CONCUSSION): implications for clinical management. Clin Neuropsychol. 2009;24(8):1368–90.CrossRef
23.
Ponsford J, Willmott C, Rothwell A, Cameron P, Kelly AM, Nelms R, et al. Impact of early intervention on outcome following mild head injury in adults. J Neurol Neurosurg Psychiatry. 2002;73(3):330–2.PubMedCentralPubMedCrossRef
24.
Saunders RL, Harbaugh RE. The second impact in catastrophic contact-sports head trauma. JAMA. 1984;252(4):538–9.PubMedCrossRef
25.
MacGregor J, Dougherty AL, Morrison RH, Quinn KH, Galarneau MR. Repeated concussion among US military personnel during Operation Iraqi Freedom. J Rehabil Res Dev. 2011;48(10).
26.
27.
Defense and Veterans Brain Injury Center. Defense and veterans brain injury center working group on the acute management of mild traumatic brain injury in military operational settings. Washington , DC : 2006.
28.
Schwab KA, Baker G, Ivins B, Sluss-Tiller M, Lux W, Warden D. The Brief Traumatic Brain Injury Screen (BTBIS): Investigating the validity of a self-report instrument for detecting traumatic brain injury (TBI) in troops returning from deployment in Afghanistan and Iraq. Neurology. 2006;66(5)(Supp. 2):A235.
29.
Tsao JW, Alphonso AL, Griffin SC, Yurkiewicz IR, Ling GS. Neurology and the military Five new things. Neurol Clin Pract. 2013;3(1):30–8.CrossRef
30.
Ponsford J. Rehabilitation interventions after mild head injury. Curr Opin Neurol. 2005;18(6):692–7.PubMedCrossRef
31.
Mittenberg W, Tremont G, Zielinski RE, Fichera S, Rayls KR. Cognitive-behavioral prevention of postconcussion syndrome. Arch Clin Neuropsychol. 1996;11(2):139–45.PubMedCrossRef
32.
Borg J, Holm L, Peloso PM, Cassidy JD, Carroll LJ, Von Holst H, Paniak C, Yates D; WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. Non-surgical intervention and cost for mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on mild traumatic brain injury. J Rehabil Med. 2004 Feb; (43 suppl):76-83.
33.
Wood RL. Understanding the ‘miserable minority’: a diathesis-stress paradigm for post-concussional syndrome. Brain Inj. 2004;18(11):1135–53.PubMedCrossRef
34.
Concussion care center Fig reference.
35.
36.
Mac Donald C, Johnson AM, Cooper D, Nelson EC, Werner NJ, Shimony JS, et al. Detection of blast-related traumatic brain injury in US military personnel. N Engl J Med. 2011;364(22):2091–100.PubMedCentralPubMedCrossRef
37.
Theeler BJ, Flynn FG, Erickson JC. Headaches after concussion in US soldiers returning from Iraq or Afghanistan. Headache. 2010;50(8):1262–72.PubMedCrossRef
38.
Theeler BJ, Flynn FG, Erickson JC. Chronic daily headache in US soldiers after concussion. Headache. 2012;52(5):732–8.PubMedCrossRef
39.
Cohen SP, Plunkett AR, Wilkinson I, Nguyen C, Kurihara C, Flagg A, et al. Headaches during war: Analysis of presentation, treatment, and factors associated with outcome. Cephalalgia. 2012;32(2):94–108.PubMedCrossRef
40.
Erickson JC. Treatment Outcomes of Chronic Post‐Traumatic Headaches After Mild Head Trauma in US Soldiers: An Observational Study. Headache. 2011;51(6):932–44.PubMedCrossRef
41.
Rosenthal JF, Erickson JC. Post‐Traumatic Stress Disorder in US Soldiers With Post‐Traumatic Headache. Headache. 2013;53(10):1564–72.PubMedCrossRef
42.
Theeler BJ, Erickson JC. Posttraumatic headache in military personnel and veterans of the Iraq and Afghanistan conflicts. Curr Treat Options Neurol. 2012;14(1):36–49.PubMedCrossRef
43.
Edinger JD, Wohlgemuth WK, Radtke RA, Marsh GR, Quillian RE. Cognitive behavioral therapy for treatment of chronic primary insomnia: a randomized controlled trial. JAMA. 2001;285(14):1856–64.PubMedCrossRef
44.
Lew HL, Garvert DW, Pogoda TK, Hsu PT, Devine JM, White D. K, Goodrich GL et al. Auditory and visual impairments in patients with blast-related traumatic brain injury: Effect of dual sensory impairment on Functional Independence Measure. J Rehabil Res Dev.2009; 46(6).
45.
46.
47.
48.
49.
50.
Kennedy CH, Moore JL. Military Neuropsychology. Acute Battlefield Assessment of Concussion/Mild TBI and Return-to-Duty Evaluations. New York: Springer Publishing Company; 2010. p. 134–74.
51.
52.
McCrea M, Guskiewicz K, Barr W, Marshall S, Randolph C, Cantu RC, et al. Acute effects and recovery time following concussion in collegiate football players. JAMA. 2003;290(19):2556–63.PubMedCrossRef
53.
Iverson GL. Outcome from mild traumatic brain injury. Curr Opin Psychiatr. 2005;18(3):301–17.CrossRef
54.
McCrory P, Meeuwisse W, Aubry M, Cantu B, Dvořák J, Echemendia R, et al. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Br J Sports Med. 2013. doi:10.​1136/​bjsports-2013-092313.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
Metadaten
Titel
Management of Acute Concussion in a Deployed Military Setting
verfasst von
Michael A. L. Johnson, MD
Jason S. Hawley, MD
Brett J. Theeler, MD
Publikationsdatum
01.09.2014
Verlag
Springer US
Erschienen in
Current Treatment Options in Neurology / Ausgabe 9/2014
Print ISSN: 1092-8480
Elektronische ISSN: 1534-3138
DOI
https://doi.org/10.1007/s11940-014-0311-8

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