STEP 2: Concussion Live Course - November 5-6, 2024, in San Diego, CA-Case Discussion – “Risky Business: Military, Pilots, First Responders, and Driving

Pdf Summary

The document, "Risky Business: Military, Pilots, Divers, and Driving," by LTC Oluwaseyi A. Gbade-Alabi, focuses on the complexities of managing traumatic brain injuries (TBIs) and concussions within military populations. This condition is notably prevalent as a signature injury from the Global War on Terror due to incidents such as blasts from improvised explosive devices (IEDs). The document outlines several key areas: the epidemiology of TBIs, their common causes, and the occupational risk factors unique to military personnel who face higher risks, especially Marines and Army soldiers.<br /><br />The case studies presented highlight the challenges faced by service members with repeated concussions and the significant symptoms that accompany TBIs, such as headaches, dizziness, memory problems, and imbalance. A comprehensive approach is required for treatment, focusing on physical health, mental health (notably PTSD and depression), and cognitive function. <br /><br />For military personnel, the return-to-duty process following an mTBI involves rigorous evaluation to ensure the readiness and safety of individuals and their units. Tools like the Military Acute Concussion Evaluation (MACE-2) and the Progressive Return to Activity framework are employed to monitor recovery and readiness.<br /><br />The document also considers special circumstances, such as requirements for military aviators and Navy SEALs, where additional stringent evaluations are needed due to the nature of their duties and the critical importance of cognitive and physical readiness in operational settings.<br /><br />Overall, the text emphasizes a patient-centered, multidisciplinary approach to assess and manage TBIs in military settings, incorporating mental health evaluations and considering the unique environmental and occupational challenges faced by service members.

Asset Subtitle

Oluwaseyi A. Gbade-Alabi, MD

Keywords

traumatic brain injuries

military personnel

concussions

improvised explosive devices

occupational risk factors

Military Acute Concussion Evaluation

Progressive Return to Activity

mental health

cognitive readiness

multidisciplinary approach