Page 298 - 2025 Ranger Medic Handbook
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TBI RTD CARD
• Rest, limited activity to promote • DSM-5 Measure – Adult • Sleep hygiene education & handout • 3000mg molecularly distilled pharmacopeia DHA/EPA Omega-3 fatty acids • 4x900mg Turmeric/Curcumin daily • Exogenous Ketones • No alcohol or tobacco • No video games/phones •
Education recovery and eliminate symptoms pharmaceutical grade European • No driving until vision & vestibular Rest Activity 4 hr 30 min 60 min 30 min
Cognitive/Mood/Migraine Activities Rest with minimal, limited cognitive activity Light reading TV limited to 1–2 hours/day Count from 0 to 100 by 3s (all of this out loud) Count from 100 to 0 by 3s Basic Pixy Cubes – 4-block. 2, 3, 4 color progression (Record # Solved) Jigsaw
TBI RETURN TO DUTY PROGRESSION Physical Activities Light leisure activity, including walking on level surface Light physical activities to include walking, treadmill, stationary bike, elliptical at low pace and resistance Monitor HR and keep in Zone 0, 1, 2 – Daily exercises is at 80–90% of HR
Vestibular/Ocular-Motor/Cervical Daily activity that does not provide symptoms – (No exercise) Low light, low noise environment – (stay at home) 24–48 hours of symptom-limited cognitive and physical rest followed by a gradual increase in activity, staying below symptom-exacerbation • Prog
SECTION 11 Stage 1 thresholds 2 toe taps
284 SECTION 11 REFERENCES & ABBREVIATIONS
