ArticleImproving Identification of Traumatic Brain Injury After Nonmilitary Bomb BlastsRutland-Brown, Wesley MPH; Langlois, Jean A. ScD, MPH; Bazarian, Jeffrey J. MD, MPH; Warden, Deborah MDAuthor Information From the Division of Injury Response, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Ga (Mr Rutland-Brown and Dr Langlois); Department of Emergency Medicine, University of Rochester School of Medicine, Rochester, NY (Dr Bazarian); and Defense and Veterans Brain Injury Center, Walter Reed Army Medical Center, Washington, DC (Dr Warden). Corresponding author: Jean A. Langlois, ScD, MPH, CDC/NCIPC/DIR, 4770 Buford Hwy, NE MS F-41, Atlanta, GA 30341 (e-mail: firstname.lastname@example.org). The views expressed in this article are those of the authors and do not reflect the official policy of the Centers for Disease Control and Prevention, Department of Army, Department of Defense, or US Government. The authors thank the Mild Traumatic Brain Injury in Mass Casualty Events Expert Working Group for their discussion and insights, which served as the foundation for this article. The authors also thank Michael Pietrzak, MD, FACEP, for his critical review of an earlier version of the manuscript. Journal of Head Trauma Rehabilitation: March-April 2008 - Volume 23 - Issue 2 - p 84-91 doi: 10.1097/01.HTR.0000314527.78134.70 Buy Metrics Abstract Objective To improve identification of traumatic brain injury (TBI) in survivors of nonmilitary bomb blasts during the acute care phase. Methods The Centers for Disease Control and Prevention convened a meeting of experts in TBI, emergency medicine, and disaster response to review the recent literature and make recommendations. Results Seven key recommendations were proposed: (1) increase TBI awareness among medical professionals; (2) encourage use of standard definitions and consistent terminology; (3) improve screening methods for TBI in the acute care setting; (4) clarify the distinction between TBI and acute stress disorder; (5) encourage routine screening of hospitalized trauma patients for TBI; (6) improve identification of nonhospitalized TBI patients; and (7) integrate the appropriate level of TBI identification into all-hazards mass casualty preparedness. Conclusions By adopting these recommendations, the United States could be better prepared to identify and respond to TBI following future bombing events. © 2008 Lippincott Williams & Wilkins, Inc.