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caregiver tip - Traumatic Brain Injury Council

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Some activities place people at higher risk for a TBI. According to the<br />

Centers for Disease Control, the main causes of TBI are:<br />

• Falls.<br />

• Motor vehicle crashes.<br />

• Events that cause the head or body to be struck, including many<br />

kinds of sports.<br />

• Violent assaults.<br />

• Military duties. Blasts now are a leading cause of TBI for active<br />

military personnel in war zones.<br />

TBI is the signature<br />

injury of the Iraq and<br />

Afghanistan Wars.<br />

The Signature <strong>Injury</strong> of the Iraq and Afghanistan Wars is TBI.<br />

TBI now affects more than one-fourth of the survivors of bomb<br />

blasts in war zones. Were it not for advances in body armor,<br />

helmets, and battlefield medicine, most military victims of TBI would<br />

not have survived as recently as 15 years ago.<br />

Medical, behavioral and social problems following TBI may lead to<br />

failed relationships and careers, substance abuse, and inability to<br />

re-adapt to civilian life. Many military survivors of TBI also suffer<br />

from post traumatic stress disorder (PTSD).<br />

WHAT HAPPENS WHEN A TBI OCCURS<br />

With a TBI, there is a primary event or initial injury. Then there may be a<br />

secondary event, or further injury from the body's and brain's responses.<br />

For example, a person striking his or her head very hard causes immediate<br />

bruising and tearing of brain tissue—a primary event. Then a reaction by<br />

the brain, such as swelling, puts pressure on brain tissue and causes more<br />

damage—a secondary event.<br />

Damage from a secondary event can be more severe than damage<br />

from the primary event.<br />

M ODULE 1<br />

PAGE 8

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