With Complete Solutions
In blast injuries there are 3 Impacts when do they occur? correct
answer: Baro-Trauma occurs from the concussion of the blast.
Impact Trauma occurs from the body hitting another object /
brain hitting the skull.
Additionally objects like shrapnel and gravel hitting the soldier
after the blast causing further damage.
Characteristics of a Mild TBI? correct answer: Most common
type of TBI, is often missed, particularly in the presence of other
more obvious injuries. Has been referred to as "Dead Man
Walking"
S/S of a Mild TBI correct answer: Transient Confusion (Bell
Rung), Delayed verbal and motor responses, Disorientation.
Slurred or incoherent speech, any period of LOC.
Characteristics of Moderate/Severe TBI correct answer: Easily
recognized Penetrating injuries, Initially lucid but deteriorate,
Moderate-Severe Symptoms.
S/S of Moderate/Severe TBI correct answer: LOC, Personality
Change, Severe or progressively worsening headache, Repeated
vomiting or nausea, Seizures, Inability to awaken, Pupil dilation
one/both, Slurred speech, Weakness or numbness in extremities,
Loss of coordination, increased restlessness, confusion agitation,
Vomiting and neuro deficit
, What is MACE? correct answer: a good tool to form the
neurological/cognitive baseline.
What should a Tracker for TBI's have? correct answer: Baseline
results, Mace result, Exposure, Proximity, Frequency to Blasts,
Retests for comparison throughout deployment.
How often should a MACE evaluation be done? correct answer:
Every 6 months or when mission dictates.
What are the 5 domains of function examined in the MACE
test? correct answer: Orientation, Immediate Memory,
Neurological Screening, Concentration, and Delayed Recall.
What is a Pronator Drift? correct answer: When attempting to
hold arms out in an extended position with eye closed, one arm
will drift or drop downward and pronate (Palm turned
downward)
List Level 2 Evacuation Red Flags for TBI correct answer: Any
positive answer to Mace items V-VIII
Double Vision, Worsening Headache, Worsening Headache or
disoriented to place, LOC greater than 5 min, Slurred speech.
List Level 3 Evacuation Red Flags for TBI correct answer:
Progressively declining levels of consciousness, Pupil
Asymmetry, Seizures, Repeated vomiting.