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Traumatic Brain Injury

According to the Centers for Disease and Prevention (CDC), 1.7 million people are diagnosed with a brain injury each year.

What is Traumatic Brain Injury—or TBI?

TBI occurs as the result from a blow or jolt to the head that disrupts the normal function of the brain. Categories for TBI are:

  • Mild
  • Moderate
  • Severe
  • Penetrating

The most common form of TBI in the military is mild, and is also known as a concussion.

According to the Defense Health Agency Traumatic Brain Injury Center of Excellence (TBICoE), 453,919 service members have been diagnosed with a first-time TBI since 2000. The most common form of TBI in the military is mild, and is also known as a concussion. To learn more about TBI numbers, visit the DOD TBI Worldwide Numbers page.

Traumatic Brain Injury Awareness

TBI Topic Page Review Form

The Traumatic Brain Injury Center of Excellence (TBICoE) manages the content on the Health.mil Traumatic Brain Injury Topic Page for the Defense Health Agency (DHA). To submit content for review and approval to this page, Military Health System agencies and other government partners can download and email this form, along with attached content in a Word document, to the TBICoE website manager at dha.TBICoEinfo@mail.mil.

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MACE 2 Provider Training: Student Workbook

Publication
7/31/2020

The MACE 2 Student Workbook is for use with the MACE 2 training slides to learn how to properly use the MACE 2.

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Vestibular Ocular Motor Screening (VOMS)

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7/31/2020

The VOMS for Concussion Instructions is a clinical support tool for use with the MACE 2.

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ICD-10 Coding Guidance for TBI

Publication
7/31/2020

TBICoE developed this quick reference resource based on the latest coding guidance and the Military Health System Professional Services and Specialty Medical Coding Guidelines Version 5.0, to facilitate consistent and accurate coding for TBI diagnoses and related symptoms and conditions.

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Management of Sleep Disturbances Following Concussion/mTBI Clinical Recommendation

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7/31/2020

This TBICoE clinical recommendation outlines how to identify and assess sleep disturbances following a concussion; primary care manager initial treatment options; and recommended conditions for referral to sleep medicine.

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Cognitive Rehabilitation Following Mild to Moderate TBI Clinical Recommendation - Short

Publication
7/30/2020

This short version of the Cognitive Rehabilitation Following Mild to Moderate TBI Clinical Recommendation provides an at-a-glance overview of the full-length version for quick access and use on the job.

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Cognitive Rehabilitation for Following Mild to Moderate TBI Clinical Recommendation - Full

Publication
7/30/2020

This TBI clinical recommendation is broken down into three primary categories: Modifications for Service Members and Veterans; Interventions and Strategies to Address Cognitive Dysfunction; and, Delivery of Rehabilitation for Patients with Cognitive Challenges. Each category contains clinical recommendations, the background and rationale behind them, evidence review references, and clinical resources.

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Cognitive Rehabilitation Following Mild to Moderate TBI - Referring Provider Resource

Publication
7/30/2020

This resource answers common questions that referring providers may have, such as how to determine if a patient is having cognitive difficulties or whether the patient is a good candidate for cognitive rehabilitation following a mild to moderate traumatic brain injury.

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Military Acute Concussion Evaluation 2 (MACE 2)

Publication
7/30/2020

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.

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Last Updated: May 19, 2022

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