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Traumatic Brain Injuries (TBI), the “invisible wounds” and the “signature injuries” to US service members, number over eight hundred thousand. The costs of those injuries over time have not been adequately tallied. The DoD, VA and medicine in general use an inadequate protocol that treats symptoms and fails to treat underlying brain wounds. It is fair to say that costs continue to escalate partly as a result of politics brought about by medicine’s unwillingness to accept worldwide science and evidence of new, non-standard treatments that are healing brain wounds. Annually, millions of people in the US sustain TBIs and Concussions. Over a quarter of million are hospitalized and survive. According to CDC estimates, 1.6 to 3.8 million sports and recreation related concussions occur each year in the U.S. Over 80,000 experience the onset of long-term disability. Acquired brain trauma is the second most prevalent disability in the U.S., now estimated at 13.5 million Americans. A war lasting twenty years has coincided with interrelated epidemics of suicide, opioid overdoses, and mental health deterioration in the military services. $118.1 billion per year is the current annual economic impact on our country by TBI veterans who live with untreated, undiagnosed, or misdiagnosed brain wounds. The costs are spread across a complex of known impacts. It includes Veteran homelessness, loss of state and federal income taxes, sales taxes, vehicle taxes, drug and opioid induced costs, non-taxable VA and Social Security disability payments, state incarceration and hospitalization costs, pharmaceuticals, and caregiver costs. The costs of the moral, mental, social and behavioral damage are hard to quantify. The financial modeling approach used in this study reflects the estimated economic impact to each state and our country’s annual tax revenues and expenses. A similar analysis is done to assess the costs of treating and healing brain wounds with Hyperbaric Oxygen Therapy (HBOT) and other proven alternative, functional medicine interventions. This contrasts with the current standard of care: merely treating symptoms and palliating pain and suffering with drugs. Treating and healing brain wounds, now possible, can reverse the suicide epidemic among service members and brake accelerating costs; improve Quality of Life for the wounded and their families; and affect military readiness and national security. The cost savings are profound: Treating the estimated 877,000+ brain-wounded post-9/11 Veterans with Hyperbaric Oxygen (HBOT) and other proven alternative therapies will cost an estimated $19.7 Billion. That is less than ½ of one percent of the $4.7 Trillion 40-year lifetime costs attributable to NOT treating those brain wounds. Recommendations include: Immediate use of proven alternative therapies such as HBOT to arrest the suicide epidemic and heal wounded brains; implementation of a comprehensive plan to promote a collaborative, prospective TBI treatment agenda, with the sense of urgency that epidemics demand; URGENT DoD and VA efforts to develop coordinate, and implement a measurement-based TBI management system that documents patients’ progress over the course of treatment and long-term follow-up; highest priority assigned to ensure DoD and VA medical personnel are fulfilling their medical ethical obligations of “Informed Consent” about current alternative treatments, science and the need for immediate identification and treatment of a brain wounded service members; independent audits of all mental health statistics and numbers coming out of DoD and the VA, along with budget numbers masking total costs for TBI Veterans; and application of the principles of Functional Medicine in assessing and treating all combat veterans.
Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme
This timely book reports recent progress in research on traumatic brain injury (TBI) by leading investigators encompassing translational and clinical studies. The text covers epidemiology, pathophysiology, brain imaging, cognition, behavioral sequelae, and clinical trials of innovative treatments, including new approaches to rehabilitation. The range of TBI mechanisms represented in this cutting-edge book includes closed head trauma and blast-related injury, and the spectrum of TBI severity. Chapters offer a developmental perspective, including the effects of TBI on cognitive development in children and outcome studies in adults. Contributors from various countries provide a global perspective on this worldwide health problem. The editors have synthesized the contents in a concluding chapter. Researchers and clinicians will find this volume to be an informative, authoritative reference for current TBI research.
Adam Moore describes how he suffered a serious brain injury and recovered with medical help and family support.
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
Presents the most up-to-date clinical and experimental research in neurotrauma in an illustrated, accessible, comprehensive volume.
Distributed to some depository libraries in microfiche.
The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who support them as they support the nation â€" their families. Family members provide support to service members while they serve or when they have difficulties; family problems can interfere with the ability of service members to deploy or remain in theater; and family members are central influences on whether members continue to serve. In addition, rising family diversity and complexity will likely increase the difficulty of creating military policies, programs and practices that adequately support families in the performance of military duties. Strengthening the Military Family Readiness System for a Changing American Society examines the challenges and opportunities facing military families and what is known about effective strategies for supporting and protecting military children and families, as well as lessons to be learned from these experiences. This report offers recommendations regarding what is needed to strengthen the support system for military families.
Due to injuries sustained in sports and in combat, interest in traumatic brain injury (TBI) has never been greater. This book will fulfill a gap in understanding of what is occurring in the brain following injury that can subsequently be detected in biological fluids and imaging.
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