Military Helmets: Traumatic Brain Injury

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Dr. Charles Hoge, the U.S. Army’s senior mental health researcher at Walter Reed Hospital from 2002 to 2009 and now advisor to the Army Surgeon General, wrote an interesting piece for the Huffington Post in which he effectively dismissed the idea that there might be lingering effects from mild traumatic brain injury (“TBI”).    This article appears to have written to place the US Army “spin” on earlier report from the New York Times that a US Army survey of 18,000 soldiers suggested that 40% of returning soldiers had “experienced at least mild TBI.”   Could it be that our antiquated military helmets should have provided better protection to prevent these cases of TBI?

While Dr. Hoge recommends that we should honor these brave but impaired heroes, he goes on to argue that there is no easy clinical or pychological explanation to determine the degree of TBI.  In fact, he goes on to suggest that we re-label these conditions to produce an “AC” or Army-Correct version.  According to Dr. Hoge, “medical and mental health professionals can better educate their warriors about combat physiology, and not make everything so clinical. Instead of ‘trauma,’ ‘injury,’ ‘symptom’ or ‘disorder,’ they can try using words like ‘experience,’ ‘event,’ ‘reaction’ or ‘physiological responses.’ That doesn’t minimize the importance of medical terminology, especially in guiding effective treatment, but it also acknowledges the warriors’ need for validation of their own experiences.” 

This callous “spin” suggests that if we call the symptoms or evidence of TBI something else such as Post Traumatic Stress Disorder (“PTSD”) then we have a psychologically treatable “reaction” to high levels of stress rather than a physical ailment.  This is sophistry at its best.

Many have long argued that our troops need state-or-the-art liners and self-adjusting padding inside military helmets to cushion or dissipate the energy of a hit that lessen the sudden movement of the head that causes concussions.   Why can’t our brave soldiers be afforded the same level of protection that we give to NFL and college football players?  The technology is available if only the US Army would care to look rather than staunchly defend the safety of current military helmets.

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