3. CLARIFYING GUIDANCE ON AWARD OF THE PURPLE HEART FOR CONCUSSIONS. WHEN RECOMMENDING AND CONSIDERING AWARD OF THE PURPLE HEART, THE CHAIN OF COMMAND WILL ENSURE THE CRITERIA IN PARAGRAPH 2-8 OF REFERENCE B IS MET, AND THAT BOTH DIAGNOSTIC AND TREATMENT FACTORS ARE PRESENT AND DOCUMENTED IN THE SOLDIER’S MEDICAL RECORD BY A MEDICAL OFFICER. PARAGRAPH 4C BELOW DEFINES MEDICAL OFFICER.
A. THE FOLLOWING NON-EXCLUSIVE LIST PROVIDES EXAMPLES OF SIGNS, SYMPTOMS OR MEDICAL CONDITIONS DOCUMENTED BY A MEDICAL OFFICER OR MEDICAL PROFESSIONAL THAT MEET THE STANDARD FOR AWARD OF THE PH:
(1) DIAGNOSIS OF CONCUSSION OR MILD TRAUMATIC BRAIN INJURY;
(2) ANY PERIOD OF LOSS OR A DECREASED LEVEL OF CONSCIOUSNESS;
(3) ANY LOSS OF MEMORY FOR EVENTS IMMEDIATELY BEFORE OR AFTER THE INJURY;
(4) NEUROLOGICAL DEFICITS (WEAKNESS, LOSS OF BALANCE, CHANGE IN VISION, PRAXIS (I.E. DIFFICULTY WITH COORDINATING MOVEMENTS), HEADACHES, NAUSEA, DIFFICULTY WITH UNDERSTANDING OR EXPRESSING WORDS, SENSITIVITY TO LIGHT, ETC.) THAT MAY OR MAY NOT BE TRANSIENT; AND,
(5) INTRACRANIAL LESION (POSITIVE COMPUTERIZED AXIAL TOMOGRAPHY (CAT) OR MAGNETIC RESONANCE IMAGING (MRI) SCAN).
B. THE FOLLOWING NON-EXCLUSIVE LIST PROVIDES EXAMPLES OF MEDICAL TREATMENT FOR CONCUSSION THAT MEET THE STANDARD OF TREATMENT NECESSARY FOR AWARD OF THE PH:
(1) LIMITATION OF DUTY FOLLOWING THE INCIDENT (LIMITED DUTY, QUARTERS, ETC.);
(2) PAIN MEDICATION SUCH AS ACETAMINOPHEN, ASPIRIN, IBUPROFEN, ETC. TO TREAT INJURY, SUCH AS HEADACHE;
(3) REFERRAL TO NEUROLOGIST OR NEUROPSYCHOLOGIST TO TREAT THE INJURY; AND,
(4) REHABILITATION (SUCH AS OCCUPATIONAL THERAPY, PHYSICAL THERAPY, ETC.) TO TREAT INJURY.
C. COMBAT THEATER AND UNIT COMMAND POLICIES MANDATING REST PERIODS OR “DOWN TIME” FOLLOWING INCIDENTS DO NOT CONSTITUTE QUALIFYING TREATMENT FOR CONCUSSION INJURIES. TO QUALIFY AS MEDICAL TREATMENT, THIS REST PERIOD MUST HAVE BEEN DIRECTED BY A MEDICAL OFFICER OR MEDICAL PROFESSIONAL FOR THE INDIVIDUAL AFTER DIAGNOSIS OF AN INJURY AS INDICATED IN B(1) ABOVE.
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