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Defense Centers of Excellence DCoE TBI: The Iraq and Afghanistan Experience And What Will Evolve From It Reserve Office

2. Overview. Traumatic Brain Injury (TBI) Classification/Clinical SpectrumMechanismsIraq (OIF) and Afghanistan (OEF) ExperienceDefense Centers of ExcellenceDefense and Veterans Brain Injury Center (DVBIC)National Intrepid Center of Excellence (NICoE)Care and Treatment InitiativesResearchTra

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Defense Centers of Excellence DCoE TBI: The Iraq and Afghanistan Experience And What Will Evolve From It Reserve Office

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    1. Defense Centers of Excellence (DCoE) TBI: The Iraq and Afghanistan Experience And What Will Evolve From It Reserve Officers Association 23 Mar 2009

    2. 2 Overview Traumatic Brain Injury (TBI) Classification/Clinical Spectrum Mechanisms Iraq (OIF) and Afghanistan (OEF) Experience Defense Centers of Excellence Defense and Veterans Brain Injury Center (DVBIC) National Intrepid Center of Excellence (NICoE) Care and Treatment Initiatives Research Translation to Improved Care for Warriors and Civilians

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    8. 8 TBI Mechanisms

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    11. 11 Blast

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    18. 18 Defense Centers of Excellence for Psychological Health and TBI (DCoE)

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    22. 22 TBI Actions DVBIC/DCoE TBI Training Conferences (2007 and 2008) MACE (Military Acute Concussion Evaluation) 15 year Longitudinal Study TBI Surveillance Deployed and DoD/VA CPGs Family Caregiver Panel JIEDDO (DVBIC/MIT Collaboration) DoD/DCoE Research HBO2 in TBI Clinical Trial

    23. 23 TBI Actions (cont) National Intrepid Center of Excellence (NICoE) Other Research Endeavors Neuroimaging (DTI, SWI) Biomarkers Neuroprotective agents (progesterone, NAC) Several complimentary/alternative therapies Improved helmet technology/blast sensors Neurocognitive Assessment Test (NCAT) evaluations

    24. 24 TBI Research Impact 1.4 million TBIs annually in USA 750,000 strokes 75,000 new cases of multiple sclerosis Hopefully, current research efforts will translate into better care of all TBI

    25. 25 Future Sports concussion/fall/MVA/blast injury Concussion or more severe TBI suspected/diagnosed Individual removed from game, site of injury, battlefield Undergoes rapid computer-based neurocogintive assessment to compare to patients own baseline testing Biomarker panel drawn Advanced neuroimaging (e.g., DTI/SWI) obtained Neuroprotective drug administered Patient rested until recovered as indicated by return to baseline cognitive functioning

    26. 26 Questions/Discussion

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