Return-to-Duty & Recovery Protocols Flashcards
6 cards from real MACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Return-to-Duty & Recovery Protocols flashcards as text
What factors indicate a service member may need referral to a TBI specialist?
Answer: Symptoms persisting beyond 7-14 days, worsening symptoms, history of multiple concussions, abnormal neurological findings, or significant functional impairment
Referral criteria include: symptoms not resolving within expected timeframes, worsening trajectory, multiple prior concussions, abnormal imaging or neurological exam, pre-existing mental health conditions complicating recovery, or significant duty impairment.
What cognitive rehabilitation strategies are used for concussion recovery?
Answer: Graduated cognitive loading, compensatory strategy training, attention and memory exercises, and psychoeducation about expected recovery
Cognitive rehabilitation may include progressive cognitive loading (reading, problem-solving), compensatory strategies (note-taking, checklists), targeted attention/memory training, and education about normal recovery expectations.
How should a medic or corpsman manage a concussed service member in a combat environment?
Answer: Conduct MACE assessment, ensure safety from further injury, monitor for red flag symptoms, evacuate if indicated, and document all findings
Combat concussion management requires balancing tactical needs with medical care: conducting rapid assessment, ensuring the service member is in a safe location, monitoring for deterioration, making evacuation decisions, and documenting everything.
What is the significance of previous concussion history in managing new concussions?
Answer: Prior concussions increase vulnerability to subsequent injury, prolong recovery times, and lower the threshold for symptom development
Research shows that service members with concussion history are more susceptible to subsequent concussions, experience longer recovery periods, and may develop persistent symptoms at lower injury thresholds, requiring more conservative management.
What documentation is required throughout the concussion recovery process?
Answer: Initial MACE scores, serial symptom checklists, follow-up MACE scores, activity progression notes, and final return-to-duty clearance documentation
Comprehensive documentation tracks the entire recovery: initial assessment, serial symptom monitoring, repeat cognitive testing, progressive activity tolerance, and final clearance. This record supports medical decisions and disability claims if needed.
What role does sleep play in concussion recovery protocols?
Answer: Adequate, quality sleep is essential for brain healing and is actively managed through sleep hygiene education and environmental modifications
Sleep is critical for brain recovery after concussion. Protocols emphasize sleep hygiene education, consistent sleep schedules, dark/quiet environments, limiting caffeine and screen time, and addressing sleep disturbances medically if needed.