An Explosion in the Mouth Caused by a Firework. These patients would have not only facial injuries but orbital fractures and anterior segment trauma, so a stepwise, team approach was needed. His airway was secured immediately upon arrival due to an altered mental status with a GCS of 3 and poor oxygenation. Log in for two more free articles, or subscribe now for unlimited online access. One cause for the rise in TBI cases in recent conflicts may be that soldiers are surviving wounds that would have been fatal in previous conflicts. Threats to the brain that have emerged during the past 15 years of war have revealed that there are injuries that current helmets have not been designed to protect against. And then there are troops who walk off airplanes onto the tarmac and hug their kids in spite of concussive head trauma.
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Combat Helmets and Blast Traumatic Brain Injury

On the one hand, this is a young population, with a mean age of educated, highly motivated, and with good family and community support, which all are good prognostic indicators for rehabilitation potential. Wade had made remarkable progress, but a long road to recovery was still ahead. These waves can cause damage-inducing imbalances in acoustic impedance between the movement of air and gas-filled organs. Interestingly, in our case, the skin and intracranial lesions spontaneously regressed after birth, but the numbers of bone marrow blast cells gradually increased and the intracranial lesions reappeared, suggesting close monitoring is important. Army helmets already include requirements to protect against ballistic and blunt impact injuries secondary and tertiary injuries.
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During transport the patient became asystolic and his blood pressure dropped. No progression of his intracranial hemorrhages noted. Closed-eye ocular injuries in the Iraq and Afghanistan wars. Additionally, the level of severity of impairments can range from mild to profound, which requires that SLPs have the technical skill and flexibility to treat conditions from minimal responsiveness to return to work or school. The Army should include brain imaging of soldiers who have been exposed to blasts as part of their medical study to better understand how blasts affect the brain. Case Reports in Hematology. No surgical intervention was planned for his injuries.
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The term polytrauma-a new word in the medical lexicon-is now being used to describe the injuries to multiple body parts and organs that occur as a result of exposure to blasts. At the PRCs, SLPs are members of the core polytrauma teams and have standing orders to assess cognitive-communication and swallowing functions within 24 to 48 hours of admission and then to treat the patients as indicated throughout their stay in rehabilitation. Subscribe and become an Insider. Blast gauges are environmental sensors, however. The Army has taken steps to better understand the link between blast overpressure exposure and TBI. The trials produced injuries ranging from skin laceration to extensive skull fractures and brain contusion. J Head Trauma Rehabil ;
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