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1 1 (February 13, 2020)

handle is hein.crs/govcagd0001 and id is 1 raw text is: ; ' o, 101 - 11 - ..- Researh Sevice Management of Mild Traumatic Brain Injury (mTBI) in the Military February 13, 2020 On January 7, 2020, the Department of Defense (DOD) reported that the Islamic Republic of Iran launched a number of ballistic missiles at certain Iraqi military bases hosting U.S. and coalition military forces. These forces utilize Iraqi military bases to support counter-terrorism operations within the region, including military actions against the Islamic State under Operation Inherent Resolve. DOD initially reported no U.S. or coalition casualties, then later stated that 34 U.S. servicemembers assigned to these locations were subsequently diagnosed with mild trawnatic brain injuy (mTBI) resulting from the missile blasts. On February 10, 2020, numerous media sources reported that DOD revised its count to 109 servicemembers diagnosed, with 76 of those members already having returned to duty. These numbers may increase in the future as servicemembers are further assessed. This Insight provides a brief overview of DOD policies and programs to screen, assess, and manage mTBI, which includes deployment-related concussions. What is Traumatic Brain Injury? DOD defines TBI as a traumatically induced structural injury or physiological disruption of brain function, as a result of an external force, that is indicated by new onset or worsening of at least one of the following clinical signs immediately after an event: * altered mental status; * memory loss (before or after the injury); or * decreased, or loss of, consciousness (self-reported or observed). Examples of external forces include blunt trauma to the head, acceleration or deceleration movement to the head, or exposure to blasts or explosions, including penetrating injuries. DOD organizes TBI diagnoses into four levels of severity: mild, moderate, severe, and penetrating. An assessment conducted at the time of the injury or event determines the level of severity. Individuals with TBI can experience a wide variety of acute or chronic physical, cognitive, or emotional signs and symptoms. Congressional Research Service https://crsreports.congress.gov IN11221 CRS NStGHT Prepaimed for Mernbei-s and Com mittees o. ' C- --q s . . . . . . . . . . . . . . . . . . . . ..------------------------------------------------------------------------------------------------------------------------------------------------------------

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