Helmick Kathy, Baugh Laura, Lattimore Tracie, Goldman Sarah
Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury, 1335 East West Highway, Silver Spring, MD 20910, USA.
Mil Med. 2012 Aug;177(8 Suppl):86-92. doi: 10.7205/milmed-d-12-00174.
Traumatic brain injury (TBI) has been not only a major focus of concern during the recent conflicts in Afghanistan and Iraq, but also among our garrison service members. The prevalence of these injuries has compelled the nation and Congress to invest in the development of policies and programs that support evidence-based care for the full continuum of TBI, from mild (otherwise known as concussion) to severe and penetrating brain injuries. Although, the Department of Defense has made great strides in the areas of TBI clinical care, education, and research, there remains a great need to leverage scientific, policy, and clinical advancement to maximize care of the service member. The purpose of this article is to outline the 7 major areas of work currently being undertaken to help advance the field of TBI. The 7 areas include: (1) eliminating undetected mild traumatic brain injury through prompt early diagnosis, (2) ensuring force readiness and addressing cultural barriers, (3) improving collaborations with the Department of Veterans Affairs, other federal agencies, and academic and civilian organizations, (4) improving deployment-related assessments, (5) deploying effective treatments, (6) conducting military-relevant and targeted research, and (7) enhancing information technology systems.
创伤性脑损伤（TBI）不仅是近期阿富汗和伊拉克冲突期间备受关注的焦点，也是我们驻军服务人员中的关注重点。这些损伤的普遍性促使国家和议会投入资金制定政策和计划，以支持对从轻度（也称为脑震荡）到重度及穿透性脑损伤的整个TBI连续病程进行循证护理。尽管国防部在TBI临床护理、教育和研究领域取得了长足进展，但仍迫切需要利用科学、政策和临床方面的进步，以最大限度地为服役人员提供护理。本文旨在概述目前为推动TBI领域发展而开展的7个主要工作领域。这7个领域包括：（1）通过及时早期诊断消除未被发现的轻度创伤性脑损伤；（2）确保部队战备状态并消除文化障碍；（3）改善与退伍军人事务部、其他联邦机构以及学术和民间组织的合作；（4）改进与部署相关的评估；（5）部署有效的治疗方法；（6）开展与军事相关的针对性研究；（7）增强信息技术系统。
