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TBI and MACE

TBI and MACE. Goldminer 24 CPT Matt Tillman. TBI and MACE. What is TBI? Why at the NTC? Mandatory Concussive Events NTC MACE process MACE - the forcing function MACE training gates. Traumatic Brain Injury (TBI). Brain Activity. Severe Traumatic Brain Injury. Concussion. Normal.

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TBI and MACE

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  1. TBI and MACE Goldminer 24 CPT Matt Tillman

  2. TBI and MACE • What is TBI? • Why at the NTC? • Mandatory Concussive Events • NTC MACE process • MACE - the forcing function • MACE training gates

  3. Traumatic Brain Injury (TBI)

  4. Brain Activity Severe Traumatic Brain Injury Concussion Normal High Activity Low Activity The Brain Wants To Rest After TBI

  5. Why TBI training at NTC?

  6. Background / Trends • 56% of Wounded Warriors TBI and PTS related • Culture of fighting through the problem • Leadership not attune to TBI effects • Short term • Long Term • Chain of command not involved in tracking and mandating evaluations • Effects of concussion potentially permanent-life altering

  7. TBI As A Result Of Concussive Events

  8. MACE Glide Path to Success Green Tab In-Brief Leadership identification of mandatory concussive events Med Leader In-Brief Medic MACE Skill Validation Documentation Individual Medic TNG RSOI 1 RSOI 2 RSOI 3 TD 1 TD 3 TD 4 TD 5 TD 6 TD 7 TD 8 TD 9 TD 10 TD 11 TD 12 TD 13 TD 14 RSOI 4 TRM TD 2 Reporting Recovery / Fighter Mgmt Re Evaluation BDE directed reporting start Recurring Event Tracking • MACE Training Gates: • Leadership identification of mandatory events • Proper administration of MACE • Proper Documentation • Reporting IAW BCT procedure • Recovery time managed at Company level • Re-evaluation conducted to standard after recovery • Recurring events tracked at the Company level

  9. MACE Process at NTC (STX) Continue Mission - MACE at BAS within 6 hours of mission complete POI Yes Soldier / Unit -RTD No No Soldier / Unit -RTD Medic - Red Flags present? BAS - MACE Positive? NOTE:During STX, reconstitution is immediate. TBI casualties from the day will report to the BAS for MACE at the conclusion of training but will not be forced to rest for 6 hours until FSO. Yes EVAC to BAS

  10. MACE Process at NTC (FSO) Continue Mission - MACE at BAS within 6 hours of mission complete Medical Provider- Treat symptoms 6 hour rest period POI Yes No No Yes Soldier / Unit - 6 hour rest period Medic - Red Flags present? BAS - MACE Positive? BAS - Symptoms / MACE Positive? BAS - Symptoms resolved in less than 48 hours? Yes No Yes BAS- Evacuate for Neurological testing EVAC to BAS No Soldier / Unit -RTD

  11. MACE Exam

  12. M-TBI MILES Card Field Medical Card Mace 18/30 Concussion is evident

  13. 52 ID PBCT • Keys to success: • Accurate timely data input by BAS • Use at the unit level to track recurring events

  14. 52 ID Daily MACE Roll up • Keys to success: • Connectivity for your BAS • Enforcement of the standard (daily to DIV by 1700)

  15. Take AWAYS • TBI effects Soldiers…..long term effects of recurring events can be detrimental. Leadership training & enforcement • MACE is not a diagnostic tool and is not used at the tactical level……..it is a forcing function to ensure medical treatment of your Soldier • Tracking recurring events is as important as treatment • LEADERS must know enforce the standard Every Concussive Event! Evaluate Treat Document

  16. Questions?

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