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The Military's Approach to Traumatic Brain Injury and Post-Traumatic Stress Disorder

机译：军方对创伤性脑损伤和创伤后应激障碍的治疗方法

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Traumatic brain injury (TBI) and Post Traumatic Stress Disorder (PTSD) are common conditions. In Iraq and Afghanistan, explosive blast related TBI became prominent among US service members but the vast majority of TBI was still due to typical causes such as falls and sporting events. PTS has long been a focus of the US military mental health providers. Combat Stress Teams have been integral to forward deployed units since the beginning of the Global War on Terror. Military medical management of disease and injury follows standard of care clinical practice guidelines (CPG) established by civilian counterparts. However, when civilian CPGs do not exist or are not applicable to the military environment, new practice standards are created. Such is the case for mild TBI. In 2009, the VA-DoD CPG for management of mild TBI/concussion was published and a system-wide clinical care program for mild TBI/concussion was introduced. This was the first large scale effort on an entire medical care system to address all severities of TBI in a comprehensive organized way. In 2010, the VA-DoD CPG for management of PTSD was published. Nevertheless, both TBI and PTS are still incompletely understood. Investment in terms of money and effort has been committed by the DoD to their study. The Defense and Veterans Brain Injury Center, National Intrepid Center of Excellence and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury are prominent examples of this effort. These are just beginnings, a work in progress ready to leverage advances made scientifically and always striving to provide the very best care to its military beneficiaries.
机译：颅脑外伤（TBI）和创伤后应激障碍（PTSD）是常见病。在伊拉克和阿富汗，与爆炸有关的TBI在美国服役人员中占主导地位，但绝大多数TBI仍是由于诸如坠落和体育赛事等典型原因造成的。 PTS长期以来一直是美国军事精神卫生服务提供者关注的焦点。自全球反恐战争开始以来，战斗压力小组一直是整合部署部队不可或缺的组成部分。疾病和伤害的军事医学管理遵循平民同行制定的护理临床实践准则（CPG）。但是，当不存在民用CPG或不适用于军事环境时，就会创建新的实践标准。轻度TBI就是这种情况。 2009年，发布了用于治疗轻度TBI /脑震荡的VA-DoD CPG，并引入了针对轻度TBI /脑震荡的全系统临床护理计划。这是整个医疗保健系统的首次大规模努力，以一种全面，有组织的方式解决了TBI的所有严重问题。 2010年，发布了用于PTSD管理的VA-DoD CPG。但是，对TBI和PTS仍不完全了解。国防部已在金钱和精力方面进行了投资研究。国防和退伍军人脑损伤中心，国家无畏卓越中心以及心理健康和创伤性脑损伤卓越国防中心是这项工作的重要例子。这些仅仅是开始，正在进行中的工作随时准备利用科学上取得的进步，并始终努力为其军事受益人提供最好的照顾。

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