Page 289 - 2022 Ranger Medic Handbook
P. 289

TBI RTD CARD (cont.)

                •  No combatives or collision sports  •  No weapons firing  Physical  •  No combatives or collision sports  •  No crew-served weapons,   mortars, breeching  **If symptoms are present  for 30 days place consult to  Neuropsychology and Neurology**


             Education  Rest  Activity  2 hr  30 min  4 hr  60 min  6 hr  90 min











          TBI RETURN TO DUTY PROGRESSION (CONT.)  Cognitive/Mood/Migraine   Activities Physical Activities  NeuroTracker SOF  RTD Stress Test – Monitor   Protocol (Self-limiting) Heart Rate throughout test  Treadmill (If treadmill only   goes to 15% grade)  3.5 (4.5) mph @ 14% (10%)   grade x 3 min  4.5 (5.5) mph @

















             Vestibular/Ocular-Motor/Cervical Vestibular/Ocular-Motor Screening   Shooting at range – assess tolerance to   small arms blast Shooting – stepwise integration of  movement and vestibule-ocular  systems (CQB crawl-walk-run   Return to Full Duty












             Stage  5  (VOMS)                              6   7   8  reintegration)  9  SECTION 10




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