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From Right to Left: Keith Qualls, a civilian Prosthetics Technician assigned to Naval Medical Center San Diego (NMCSD) makes prosthetics. (U.S. Navy Photo by Chief Mass Communication Specialist Michael O'Day/Released) Retired U.S. Army Staff Sgt. Earl Granville’s prosthetics is being fixed by Tyler Cook (prosthetist) at the Walter Reed National Military Medical Center, April 22, 2022. Photo by Alpha Kamara Boatswain’s Mate 3rd Class Elvin Rivera Perez, assigned to the Arleigh Burke-class guided-missile destroyer USS Ramage (DDG 61), signals to the pilots of an MH-60R Sea Hawk helicopter, attached to the “Vipers” of Helicopter Maritime Strike Squadron (HSM) 48, during flight operations, Sept. 17, 2022. Staff Sgt. Derrick Breznicki, a medical platoon sergeant assigned to 1st Battalion, 6th Infantry Regiment, 2nd Brigade Combat Team, 1st Armored Division, removes a broken hearing aid from the ear of Sgt. 1st Class Jefferey Salvatore at the aid station Fort Bliss' Doña Ana Complex in New Mexico, Aug. 26, 2021. Karen Lambert, Hearing Center of Excellence, uses a model of the vestibular system to reinforce the anatomy of the inner ear during a lecture on positional testing for benign paroxysmal positional vertigo (BPPV). (U.S. Army Maj. Mark Mateja)
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Centers of Excellence

Military Health System Centers of Excellence were established to provide the Department of Defense with the ability to speed the advancement of our scientific knowledge and evidence-based practices for diagnosis and treatment of diseases and conditions that impact our military personnel and their families with the help of a “critical mass” of experts.

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Calendar Event
Jul 18, 2023

TBICoE's Anomalous Health Incident Acute Assessment Training

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

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Publication
May 12, 2023

Acute Concussion Care Pathway: MACE 2 and PRA Training

.PDF | 646.96 KB

The Traumatic Brain Injury Center of Excellence is hosting a combined Military Acute Concussion Evaluation 2 and Progressive Return to Activity clinical recommendation virtual training.

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Publication
Jan 23, 2023

Progressive Return to Activity: Primary Care for Acute Concussion Management

.PDF | 471.02 KB

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 ...

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Fact Sheet
Nov 16, 2022

Healthy Sleep Following Concussion/mTBI Fact Sheet

.PDF | 108.25 KB

Getting restful sleep is one of the most important things you can do for your health, and it often takes thoughtful preparation during the day. This fact sheet offers service members and veterans who experience sleep disturbances after a concussion with healthy sleep tips that can likely improve sleep.

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Video
Jul 18, 2022

Interview with the SEAC: TBI from a Joint Perspective

Picking Your Brian Podcast. Interview with the SEAC: TBI from a Joint Staff Perspective

In this episode of Picking Your Brain, Traumatic Brain Injury Center of Excellence Branch Chief Capt. Scott Cota and clinical moderator Amanda Gano interview the Senior Enlisted Advisor to the Chairman of the Joint Chiefs of Staff (SEAC), Ramón Colón-López. The discussion covers the health impacts of TBI and blast-related concussion stemming from the ...

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Article
Mar 4, 2022

It’s True – Carrots (and Other Vegetables) Can Help You See in the Dark

Each color in fruits and vegetables indicates an abundance of specific nutrients.

Have you ever heard that carrots are good for your eyes, or that they can help you see in the dark? It’s true – carrots are rich in the compound beta carotene, which your body uses to make a form of vitamin A that helps your eyes adjust in the dark. A shortage of vitamin A can cause a host of health problems, including blindness.

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Publication
Oct 22, 2021

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

.PDF | 736.31 KB

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.

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Oct 21, 2021

Improving Relationships after TBI

.PDF | 110.05 KB

Flier for the Interactive Relationship Building Workshop for Active-Duty Military and Veteran TBI Caregivers and Families: This flier provides information on TBICoE's educational session for caregivers of active-duty service members and veterans who have sustained a TBI. In addition to sharing caregiver resources and current research initiatives, ...

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Last Updated: August 01, 2023
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