More Marines Eligible for TBI Award

Under a new fleetwide instruction, Marines who retain consciousness after a concussion may receive the medal if diagnosed by a medical officer as not fit for full duty “due to persistent signs, symptoms, or findings of functional impairment for a period greater than 48 hours from the time of the concussive incident.”

TBI, which has been called a “signature wound” of the wars in Afghanistan and Iraq, is often caused by blasts. In its mild form, it can result in nausea, dizziness, speech problems and loss of coordination. Recent research suggests any form of TBI may cause clinical depression in 30 percent of sufferers.

About 29,000 Marines have been diagnosed with TBIs since the 9/11 attacks, of which more than 22,000 are classified as mild. Only 9,473 have received Purple Hearts over the same period, according to Marine statistics.

”Marines have always rated a Purple Heart for TBI or mild TBI if there was a loss of consciousness,” said Marine spokeswoman Maj. Shawn Haney. “This expands on that, and broadens the category ... to say you don’t necessarily have to be unconscious.”

Throughout the military, about 202,000 troops have been diagnosed with TBI since 2000.

According to a 2010 Defense Department report to Congress, the Marine Corps was the only service that had specified loss of consciousness as the threshold for requiring medical treatment for combat brain injuries. Only injuries that require medical treatment are eligible for a Purple Heart.