TBI - Traumatic Brain Injury

Last Updated: November 05, 2024
Drawing of brain injury

Traumatic Brain Injury (TBI)External Link​ is defined as a blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. The severity of a TBI may range from mild (i.e., a concussion, which is a brief change in mental status or consciousness) to severe (i.e., an extended period of unconsciousness or amnesia). 

While TBIs are commonly the result of motorcycle accidents and sports such as football, skiing, hockey, and cycling, TBI is a significant health concern to the Department of Defense (DOD) because service members within each branch of service are at risk due to exposures such as blast overpressure during combat and training, and routine operations with weapons systems. 

Most U.S. service member TBI cases are mild (concussions). See statistics here.External Link​ Service members with mild TBI typically return to full duty within 10 to 14 days through rest and the progressive return to activity process. Further treatment is available if symptoms persist after the recommended rest period. 

While proper helmet use reduces TBI risk, bumps and jolts to the head even when wearing a helmet can still result in TBI. Evidence also suggests that repeated exposures may increase risk of injury or injury severity. Service members and veterans are a group at greater risk of experiencing long-term health problems or dying from a TBI.External Link​ 


​Prevention Tips:

  • Work: Wear protective head gear; follow safety procedures for distancing and shielding. 
  • Sports: Wear appropriate helmets; be familiar with surroundings and equipment; choose a sports program that enforces rules for safety and avoids drills or plays that increase the risk for head impacts.External Link 
  • Motor vehicles and motorcycles: Wear certified motorcycle helmets; use seat belt every time in a car. 
  • Day-to-day: Take steps to prevent the chance for a fall.​ 

​NEW AND HIGHLIGHTED: 

  • New AppExternal Link for Military Providers to Assess and Treat Traumatic Brain Injury 'Anytime, Anywhere': See news article (Aug 2024)External Link 
  • DOD Provider Factsheet on Low-Level Blast (LLB) InjuryExternal Link(Aug 2024): LLB refers to blast exposure generated from firing heavy weapon systems or ex​plosives in combat or training environments. While exposure to LLB does not typically result in a clinically diagnosable concussion/mild traumatic brain injury, providers should be aware of what to look for and how to document exposures as they may be important to long-term health. 
  • News article: DOD addresses blast overpressure (BOP) concerns to reduce TBI risks to service membersExternal Link​ (Aug 2024). Military personnel are exposed to BOP especially through various weapon systems that may cause TBI. In response to an updated policy (8 Aug 2024)External Link​ military health experts from all services are working together to determine best practices for standoff distances, personal protective equipment, shielding, isolation, and possible substitutions for different weapons systems. 

  • DOD's Warfighter Brain Health Initiative (WBHI): A main goal of the WBHI is to track a service member's brain health from initial entry into the military all the way to retirement. The WBHI focuses on assessing cognitive capabilities, monitoring brain threats, and minimizing the effects and risk of TBIs to improve a warfighter's overall performance. See news article: Critical work to improve warfighter brain healthExternal Link​ (Nov 2023) 
  • Military health experts recommend wearing good helmets, knowing limits before trying winter sports: Winter sports can be a fun and beneficial way to exercise but TBI is a common risk associated with activities like skiing and snowboarding – these News Articles (2022 and 201​6​External Link) provide tips to protect your head. 


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