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TBI Resources

The documents below are select tools and resources from the Traumatic Brain Injury (TBI) portfolio of resources in the DoD. The documents are listed here because they are linked to DoD policies on TBI. If you are looking for additional information on TBI, please visit the Defense and Veteran's Brain Injury Center (DVBIC) website. The DVBIC is the source of resources for patients, providers, and researchers.

File Description Date
DoD Instruction Number 6490.11: DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting This instruction establishes policy, assigns responsibilities, and provides procedures on the management of mild traumatic brain injury (mTBI), also known as concussion, in the deployed setting. 9/18/2012
DoD Instruction 6490.13: Comprehensive Policy on Traumatic Brain Injury-Related Neurocognitive Assessments by the Military Services This instruction establishes policy, assigns responsibilities, and prescribes standard elements, pursuant to section 722 of Public Law 111-383, requiring the implementation of a comprehensive neurocognitive assessment policy in the Military Services. 9/11/2015
Military Acute Concussion Evaluation 2 (MACE 2) The 2018 Military Acute Concussion Evaluation 2 (MACE 2) is an acute assessment tool for all medically trained personnel who treat service members involved in a potentially concussive event. The MACE 2 incorporates current state-of-the-science traumatic brain injury information, including vestibular-ocular-motor screening. The MACE 2 is an update to and replaces the original MACE. 7/30/2020
Concussion Management Tool The CMT revises and replaces the 2012 Concussion Management Algorithm and the 2014 Army Concussion Management in the Garrison Setting Algorithm. The CMT replaces the prior CMA to better align with the current MACE 2, Progressive Return to Activity, and DVBIC clinical recommendations. 7/30/2020
Recurrent Concussion Evaluation The Recurrent Concussion Evaluation card is designed to guide providers in the management of patients with a history of three or more documented concussions within a 12-month span. 7/30/2020
Indications and Conditions for In-Theater Post-Injury Neurocognitive Assessment Tool (NCAT) Testing This clinical recommendation provides background of pre-deployment neurocognitive testing and the use of automated neuropsychological assessment metrics. 7/31/2020
Neuroimaging Following Mild TBI in the Non-Deployed Setting Clinical Recommendation The Neuroimaging Following Mild TBI in the Non-Deployed Setting clinical recommendation offers guidance for a standard approach for imaging from the acute through chronic stages following mild TBI in the non-deployed setting. 7/31/2020
Neurobehavioral Symptom Inventory Form Form used by providers to question patients about their symptoms 4/30/2015
Patient Global Impression Change Scale Form filled out by patients to rate their changes in activity, symptoms, emotions and quality of life. 5/1/2015
Traumatic Brain Injury: Updated Definition and Reporting This memorandum updates the DoD definition of TBI, severity of brain injury stratification, and method of data collection. 4/6/2015

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