A Multidisciplinary Approach: As More Soldiers Suffer Brain Injuries, More Are Benefiting from Coordinated Care

By Levin-Epstein, Michael | Behavioral Healthcare, December 2006 | Go to article overview

A Multidisciplinary Approach: As More Soldiers Suffer Brain Injuries, More Are Benefiting from Coordinated Care


Levin-Epstein, Michael, Behavioral Healthcare


State-of-the-art body armor and advances in frontline trauma care are enabling soldiers to survive attacks that would have been fatal just a decade ago. As a result, military caregivers have had to come up with new strategies for caring for the alarming number of troops who have served in Iraq and Afghanistan and suffered a traumatic brain injury (TBI).

From January 2003 to September 2006, 1,529 patients were treated for TBI at the eight sites run by the Defense and Veterans Brain Injury Center (DVBIC), according to Department of Defense (DOD) spokesman Chuck Dasey. DVBIC, a collaborative effort between DOD and the Department of Veterans Affairs established after the 1991 Gulf War, has clinical care and research programs at three military sites and four VA facilities, along with one civilian partner program.

In the Vietnam War, at least 75% of all soldiers who suffered a TBI died, according to Ronald Bellamy, former editor of the Textbook of Military Medicine, whose research is cited in a 2005 article on TBI in the New England Journal of Medicine. In the Iraq and Afghanistan conflicts, the article notes, Kevlar body armor and helmets have protected soldiers from bullets and shrapnel and improved overall survival rates. However, the article explains that "helmets cannot completely protect the face, head, and neck, nor do they prevent the kind of closed brain injuries often produced by blasts," adding that "among surviving soldiers wounded in combat in Iraq and Afghanistan, TBI appears to account for a larger proportion of casualties than it has in other recent U.S. wars." (1)

In fact, as many as 70% of the wounds suffered by U.S. forces in Iraq could result in brain injuries, according to Major General Kevin Kiley, commanding general of the North Atlantic Regional Medical Command, who was cited in a 2003 Boston Globe article. In the Vietnam War, only about 15% of all combat casualties involved brain injuries, says Bellamy.

In response to this new development, DVBIC has dramatically expanded operations at its four TBI centers in Minneapolis; Richmond, Virginia; Tampa; and Palo Alto, California, to provide specialized treatment for military personnel who have a TBI. These four regional facilities, called "polytrauma centers," have significantly changed the way medical care is administered to soldiers with a TBI.

Barbara Sigford, MD, national program director of physical medicine and rehabilitation services for the VA, says TBI care is now delivered in a much more coordinated fashion. "Instead of just treating TBI," she says, "the centers now are capable of treating soldiers for other conditions, including amputation, blindness, visual or auditory impairment, complex orthopedic injuries, and mental health concerns. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • A full archive of books and articles related to this one
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

A Multidisciplinary Approach: As More Soldiers Suffer Brain Injuries, More Are Benefiting from Coordinated Care
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

    Already a member? Log in now.