Page 288 - 2022 Ranger Medic Handbook

TBI RTD CARD (cont.)

• No video games, limit phone use/ screen time • Alcohol may worsen symptoms; avoid or minimize to speed full recovery. movements Physical Cognitive • No weapons firing Physical Cognitive

Education • No activities with excessive head Rest Activity 4 hr 60 min 60 min 30 min • No Combatives or collision sports Rest Activity 2 hr 60 min 4 hr 60 min 6 hr 90 min 40 min 20 min 60 min 30 min 80 min 40 min

TBI RETURN TO DUTY PROGRESSION (CONT.) Cognitive/Mood/Migraine Activities Physical Activities Weapon assemble/ Monitor HR may go up to high disassembly Zone 2 – Daily exercise is at Count from 0 to 200 80–90% of HR that brings on by 3s symptoms (May use Bruce Count from 200 to 0 Protocol or

Vestibular/Ocular-Motor/Cervical Light Occupation-Oriented Activity (progress in sub symptomatic effort Same as Phase 2: adding helmet, Walking Uneven surfaces Walking farmers carry ≤ 20lb Walking alternating Shoulder Press Walking with alternating heat Walking with alternating head flex/ex

SECTION 10 Stage 3 levels) kit, ruck ≥ 20lb rotation 4 activity

274 SECTION 10 REFERENCES & ABBREVIATIONS