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February 7, 2000, “Traumatic brain injury strikes every 15 seconds” According to the Brain Injury Association, someone in the United States sustains a traumatic brain injury every 15 seconds. Vehicle crashes, falls and sports injuries are the three leading causes. These injuries can leave victims with temporary or permanent cognitive and emotional problems, including memory loss, speech impairments, fatigue and impulsive behavior.  Read More…

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April 14, 1999, “CDC report shows prevalence of brain injury” An estimated 5.3 million Americans, a little more than 2 percent of the U.S. population, currently live with disabilities from traumatic brain injuries, according to a new report by the Centers for Disease Control and Prevention.  Each year, approximately 80,000 Americans experience the onset of disabilities resulting from brain injuries, the report says. The data released in the CDC study is considered the most complete picture of the impact of traumatic brain injuries (TBIs) in the United States.  Read More…

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September 7, 1999, “Brain injuries common in amateur athletes” "Traumatic brain injury is a public-health epidemic," said Kelly, who pointed out that about 300,000 people who participate in amateur sports, including high-school and college athletes, will suffer from traumatic brain injuries this year. The exact number among young athletes is unknown. Overall, 1 million people will suffer traumatic brain injuries this year, leading to more than 50,000 deaths and 70,000 to 90,000 cases of long-term disability, according to the editorial. The number exceeds the newly diagnosed cases of multiple sclerosis, Parkinson's disease and Alzheimer's disease combined. Read More…

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October 28, 1998, “Study: Specialized rehab can retrain injured brains” Up to 2 million Americans suffer brain trauma each year, mostly from car crashes, falls, violence, and sports accidents. About 90,000 of them have severe brain damage that causes long-term debilitation. Many more are unaware they've been injured, and experience more subtle symptoms like disorientation, headaches, memory loss, and personality changes.
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1998, “The Injured Brain” Traumatic brain injury occurs when the compression, twisting and distortion of the brain inside the skull associated with impact causes localized as well as widespread damage throughout the brain. The lobes most likely to be bruised in a traumatic brain injury are the frontal and temporal lobes. This is because of the bony ridges on the inside of the skull near the lobes. Traumatic brain injury occurs most often as a result of vehicle accidents, falls, blows, and gunshot wounds. In fact, according to the Dana Alliance for Brain Initiatives, among Americans of ages 15 to 25, traumatic brain injury (TBI) is the leading cause of death and neurological disorders.
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Traumatic Brain Injury

What is Traumatic Brain Injury (TBI)?
Traumatic brain injury is sudden physical damage to the brain. The head forcefully hitting an object, called a closed head injury, may cause the damage or by something passing through the skull and piercing the brain, like a gunshot wound, penetrating head injury. The major cause of traumatic brain injury is from motor vehicle accidents. Other causes include falls, sports injuries, violent crimes, and child abuse.

:::::::::: TBI FACT ::::::::::

According to the Brain Injury Association, someone in the United States sustains a traumatic brain injury every 15 seconds.

Traumatic Brain Injury Damages
Physical, behavioral, or mental changes are dependent upon which areas of the brain are injured.  Most often focal brain damage is done, which is damage confined to just a small area of the brain.  This point is usually where the head has hit an object.  Closed head injuries often times causes scattered brain injuries or damage to other areas of the brain.  Diffuse damage is the result of an impact causing the brain to move back and forth against the skull.  Frontal and temporal lobes, responsible for speech and language, are often the most affected because they sit in the areas of the skull that allows more room for the brain to shift and sustain injury.  Speech and language is therefore affected, as well as voice, swallowing, walking, balancing, and coordination difficulties and changes in the ability to smell and in memory and cognitive skills.

Incidence of Traumatic Brain Injury Using national data for 1995-1996, the CDC estimates that TBIs have this impact in the United States each year:

1 million people are treated and released from hospital emergency department
230,000 people are hospitalized and survive
50,000 people die

Treatment for Traumatic Brain Injury
It is best to begin treatment early when cognitive and communication problems arise from a TBI. If a hospital visit resulted from the injury treatment usually begins there. A therapist will work with the individual to help them focus on improving their orientation to the surrounding situation and to stimulate speech and understanding. Oral motor exercises are used when there is speech and swallowing problems. Long-term rehab can be assessed by the individual’s injuries and needs. There is rehab specific to people with traumatic brain injury, including speech language pathologists, physical therapists, occupational therapists, and neuropsychologists.

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Quick Facts on Traumatic
Brain Injury

Incidence of Traumatic Brain Injury Using national data for 1995-1996, the CDC estimates that TBIs have this impact in the United States each year:

  • 1 million people are treated and released from hospital emergency departments
  • 230,000 people are hospitalized and survive
  • 50,000 people die

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Traumatic Brain Injury Rehabilitation
Rehab will help a TBI sufferer reach the highest level of independent functioning that they can, depending on the seriousness of the accident. Therapy works on restoring lost skills. Some people lose abilities after a traumatic brain injury and will have to learn to compensate for them. The most difficult part of traumatic brain injury is receiving the proper treatment. If a head injury does not result in a hospitalization and the injury is a closed head injury, failure to diagnose a problem during an office visit may result.

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What Are My Legal Rights Concerning a TBI Accident?

Traumatic brain injury sufferers often face an array of medical, legal and financial issues. Some TBI sufferers may appear unharmed, especially with a closed head injury, but may need physical, cognitive, and emotional treatment. If you have questions regarding a traumatic brain injury that you, or a family member, have suffered from, please contact us.

How Is TBI Detected?
The assessment of cognitive and communication problems is a continual, ongoing process that involves a number of professionals. Immediately following the injury, a neurologist or another physician may conduct an informal, bedside evaluation of attention, memory, and the ability to understand and speak. Once the person's physical condition has stabilized, a speech-language pathologist may evaluate cognitive and communication skills, and a neuropsychologist may evaluate other cognitive and behavioral abilities. Occupational therapists also assess cognitive skills related to the individual's ability to perform "activities of daily living" (ADL) such as dressing or preparing meals. An audiologist should assess hearing. All assessments continue at frequent intervals during the rehabilitative process so that progress can be documented and treatment plans updated. The rehabilitative process may last for several months to a year.

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TBI Attorney
For more information regarding traumatic brain injury and your LEGAL RIGHTS click here!
 
 

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The major cause of traumatic brain injury is from motor vehicle accidents.

TBI Quick Links


Effects of Traumatic Brain Injury

Treatment for Traumatic Brain Injury

Quick Facts on Traumatic
Brain Injury

Traumatic Brain Injury Rehabilitation

What Are My Legal Rights Concerning a TBI Accident?

How Is TBI Detected?

Is TBI Always Properly Diagnosed?

Glasgow Coma Scale

Recent TBI News

AUGUST 2004

Traumatic Brain Injuries Increase in Massachusetts
Figures released on August 24, 2004 indicate the number of traumatic brain injuries suffered in Massachusetts has greatly increased over the past ten years. The increase has been especially present among the elderly. From 1995 to 2002, the number of traumatic brain injury deaths due to falls increased 77 percent, with the traumatic brain injury deaths due to motor vehicles increasing 47 percent, according to data presented to the state Public Health Council. Read Full Article...

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Traumatic Brain Injury News.....

Effects of Traumatic Brain Injury
The effects of the brain damage are generally greatest immediately following the injury. However, long-term problems are difficult to assess because some damage may be caused by contusion, bruising of the brain that is usually temporary.  Focal damage may result in long-term and permanent difficulties.  Other areas of the brain can learn to take over the functions of the damaged areas over time and can improve the condition.  When a traumatic brain injury occurs in a child they may progress better than an adult because their brain has a greater capability to be flexible.

The brain stem regulates basic arousal and regulatory functions, as well as being involved in attention and short-term memory.  When a traumatic brain injury occurs and affects this area disorientation, frustration and anger can result.  In moderate to severe injuries swelling can cause pressure on the brainstem.  Consciousness or wakefulness can be affected so a person may fall into a coma. 

Higher up in the brain, than the brain stem, is the limbic system, which helps regulate emotions.  The temporal lobes are connected to the limbic system and are involved in many different cognitive skills, including memory and language.  Behavioral disorders have resulted from damage to the temporal lobes, or seizures in this area. Almost always, the frontal lobe is injured in traumatic brain injuries because it is so large in size and is located near the front of the cranium.  The frontal lobe is considered the emotional and personality control center, as well as many cognitive functions.  Damage to the frontal lobe can lead to decreased judgment and increased impulsivity. 

Traumatic brain injury can cause cognitive impairments, like trouble concentrating, trouble organizing thoughts, and becoming easily confused or forgetful, may occur in conscious people.  Learning new information may be difficult and interpreting actions of others will lead to social problems, like making inappropriate statements.  Problem solving, decision-making, and planning could be difficult as well as judgment.

Language issues like articulating words and forming sentences may become difficult after TBI.  Frustration and anger can be directed at the other person because of the difficulties a person with TBI can experience when trying to carry on a conversation or others may not even be aware of their errors.  Reading and writing becomes a problem also.  Mathematical abilities, simple or complex, are also often affected. 

A traumatic brain injury can cause conditions, such as dysarthia, which starts to slow, slur, and make speech difficult to understand if the speech mechanism muscles become damaged.  Swallowing can become problematic brought on by dysphagia, and a condition called apraxia can make repeating words in a consistent manner difficult.

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Is TBI Always Properly Diagnosed?
Some TBI cases are difficult to detect because even a CT scan can show proper brain functioning when there is in fact brain damage. Brain damage is not just a result of unconsciousness, and headaches and mood swings are both symptoms that can come from a closed head injury. Some symptoms may not appear until much after the injury. Often times neurologist reserve their time for only serious head injuries and a regular physician may not catch a problem in a routine office visit.

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Glasgow Coma Scale
A common method used to measure the severity of a traumatic brain injury is the Glasgow Coma Scale (GCS) score.


Glasgow Coma Scale - score on admission

GCS Range 3-8

GCS Range 9-12

GCS Range 13-15

Severe

Moderate

Mild

58.8%

20%

21.2%


% of TBI Injuries per Age Group

15-25 yrs

26-35 yrs

36-45 yrs

46-55 yrs

56-65 yrs

66-75 yrs

76-85 yrs

31.7%

22.5%

19.5%

10.0%

7.5%

6.3%

2.5%


The data on age comes from the ICRC study of 240 cases.  No children were used.
TBI Causes

Three Leading Causes of Traumatic Brain Injury:

  • Vehicle crashes
  • Falls
  • Sports injuries 
Video

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CLICK HERE to watch videos on:

Aneurysm
Axonal Shearing
Coup-Contracoup Mechanism
Diffuse Brain Injury
Gunshot Brain Injury

For more information regarding traumatic brain injury and your LEGAL RIGHTS
click here
TBI Occurences

Traumatic Brain Injury Occurs When

  • the head is struck with force
  • the head strikes an object
  • the brain undergoes movement within the skull without visual trauma to the exterior of the head
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