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His crusade spanned two years. He travelled to triages and hospitals across Anbar in 2006. He worked tirelessly with his stateside colleagues in 2007. Two years of toiling, all to gather enough evidence, or “data” as he calls it, to make his case. Now, back in Iraq, Navy Capt. Michael H. Hoffer feels he has won a significant victory against arguably the military’s most serious and common casualty: Traumatic Brain Injury. Traumatic Brain Injuries, or TBI’s, occur when an individual experiences shock waves from a blast, acceleration-deceleration (collision), or an impact or penetration directly to the skull. Doctors divide TBI into severe, moderate or mild. “Right now, 92 percent of all battlefield injuries in Iraq and Afghanistan are classified as (mild) TBI,” said Hoffer, the Otolaryngologist (ears, nose and throat doctor), Surgical Company, 1st Maintenance Battalion (-) (Reinforced), 1st Marine Logistics Group. The Theater TBI Center of Excellence, a result of Hoffer’s two-year initiative, is the first of its kind here in Anbar. It was established initially in September and finalized as the province’s hub of TBI treatment in December. With the cooperation of corpsmen on the ground and company commanders, the center now administers to every casualty who experienced events associated with causing TBI.

His crusade spanned two years. He travelled to triages and hospitals across Anbar in 2006. He worked tirelessly with his stateside colleagues in 2007. Two years of toiling, all to gather enough evidence, or “data” as he calls it, to make his case. Now, back in Iraq, Navy Capt. Michael H. Hoffer feels he has won a significant victory against arguably the military’s most serious and common casualty: Traumatic Brain Injury. Traumatic Brain Injuries, or TBI’s, occur when an individual experiences shock waves from a blast, acceleration-deceleration (collision), or an impact or penetration directly to the skull. Doctors divide TBI into severe, moderate or mild. “Right now, 92 percent of all battlefield injuries in Iraq and Afghanistan are classified as (mild) TBI,” said Hoffer, the Otolaryngologist (ears, nose and throat doctor), Surgical Company, 1st Maintenance Battalion (-) (Reinforced), 1st Marine Logistics Group. The Theater TBI Center of Excellence, a result of Hoffer’s two-year initiative, is the first of its kind here in Anbar. It was established initially in September and finalized as the province’s hub of TBI treatment in December. With the cooperation of corpsmen on the ground and company commanders, the center now administers to every casualty who experienced events associated with causing TBI.

Photo Date Taken: 12/24/2008

Unit: 1st Marine Logistics Group

Photo ByLine: Sgt. GP Ingersoll

Photo VRIN: 081228-M-8187I-001.jpg

Photo Size:2MB (download high-res image)

LtCol Michael Rohlfs

LtCol Michael Rohlfs

Photo Date Taken: 7/8/2008

Unit:

Photo ByLine: LtCol Michael Rohlfs

Photo VRIN: LtCol Rohlfs(low-res).processed.jpg

Photo Size:17KB (download high-res image)

Sergeant Major Christopher Harper

Sergeant Major Christopher Harper

Photo Date Taken: 3/4/2008

Unit:

Photo ByLine: Sergeant Major Christopher Harper

Photo VRIN: SgtMaj Harper(low-res).processed.jpg

Photo Size:28KB (download high-res image)

CAMP BAHARIA, Iraq (Dec. 30, 2008) – The Marines of first squad, Security Company, Combat Logistics Battalion 5, 1st Marine Logistics Group, review procedures before a combat logistics patrol Dec. 30. The Marines in Security Co. provide route security for convoys. Their defensive tactics keep the other vehicles out of harm’s way and ensure a safe trip to their destination. They protect the convoy and are responsible for setting up landing zones in case a casualty needs to be evacuated. (Photo by Cpl. Tyler B. Barstow)

CAMP BAHARIA, Iraq (Dec. 30, 2008) – The Marines of first squad, Security Company, Combat Logistics Battalion 5, 1st Marine Logistics Group, review procedures before a combat logistics patrol Dec. 30. The Marines in Security Co. provide route security for convoys. Their defensive tactics keep the other vehicles out of harm’s way and ensure a safe trip to their destination. They protect the convoy and are responsible for setting up landing zones in case a casualty needs to be evacuated. (Photo by Cpl. Tyler B. Barstow)

Photo Date Taken: 12/30/2008

Unit: 1st Marine Logistics Group (FWD)

Photo ByLine: Cpl. Tyler B. Barstow

Photo VRIN: clb5pic.jpg

Photo Size:8KB (download high-res image)

Col. Pollock

Col. Pollock

Photo Date Taken: 6/6/2008

Unit:

Photo ByLine: Col. Pollock

Photo VRIN: Col Pollock (low-res).processed.jpg

Photo Size:27KB (download high-res image)

Sailors from Naval Station Norfolk, Va., help a Marine with Company B, Chemical Biological Incident Response Force, II Marine Expeditionary Force, load a Landing Craft, Air Cushioned, here Jan 27. LCACs are designed to transport tactical vehicles the military uses in combat. CBIRF uses LCACs in response to real-world chemical, biological, radiological, nuclear or high yield explosion incidents.

Sailors from Naval Station Norfolk, Va., help a Marine with Company B, Chemical Biological Incident Response Force, II Marine Expeditionary Force, load a Landing Craft, Air Cushioned, here Jan 27. LCACs are designed to transport tactical vehicles the military uses in combat. CBIRF uses LCACs in response to real-world chemical, biological, radiological, nuclear or high yield explosion incidents.

Photo Date Taken: 1/27/2007

Unit: Chemical/Biological Incident Response Force

Photo ByLine: Cpl. Leslie Palmer

Photo VRIN: LCAC.jpg

Photo Size:1MB (download high-res image)

Marine Sgt. Mark Warner (left), technical rescue technician, Chemical Biological Incident Response Force, II Marine Expeditionary Force, shows an Army soldier, SPC. Dale Sloniger (right) from 1st Heavy Brigade Combat Team, 3rd Infantry Division, how to safely cut through a windshield. BCT 1-3 is the first active-duty Army unit tasked with the mission of chemical, biological, radiological, nuclear, and high-yield explosive consequence management.

Marine Sgt. Mark Warner (left), technical rescue technician, Chemical Biological Incident Response Force, II Marine Expeditionary Force, shows an Army soldier, SPC. Dale Sloniger (right) from 1st Heavy Brigade Combat Team, 3rd Infantry Division, how to safely cut through a windshield. BCT 1-3 is the first active-duty Army unit tasked with the mission of chemical, biological, radiological, nuclear, and high-yield explosive consequence management.

Photo Date Taken: 12/10/2008

Unit: Chemical/Biological Incident Response Force

Photo ByLine: Sgt. Leslie Palmer

Photo VRIN: 081210-M-1441P-001

Photo Size:4MB (download high-res image)

Petty Officer 2nd Class Sean M. Bohl, medical response, Headquarters and Service Company, Chemical Biological Incident Response Force, looks out at the vast Canadian Landscape during live chemical warfare agent training at the Counter Terrorism Technology Center, Defense Research and Development Center, Sept. 13. Bohl, a Springfield, Ill., native, along with more than 100 Marines and sailors, gained invaluable knowledge during the week-long evolution by working with deadly biological and chemical agents such as VX, arsenic, and mustard gas

Petty Officer 2nd Class Sean M. Bohl, medical response, Headquarters and Service Company, Chemical Biological Incident Response Force, looks out at the vast Canadian Landscape during live chemical warfare agent training at the Counter Terrorism Technology Center, Defense Research and Development Center, Sept. 13. Bohl, a Springfield, Ill., native, along with more than 100 Marines and sailors, gained invaluable knowledge during the week-long evolution by working with deadly biological and chemical agents such as VX, arsenic, and mustard gas

Photo Date Taken: 9/13/2006

Unit: Chemical/Biological Incident Response Force

Photo ByLine: Sgt. Christopher Reed

Photo VRIN: DRDC4LRES.jpg

Photo Size:9KB (download high-res image)

M-40 field protective masks dry in the sun after being decontaminated by Decontamination Team, Company A, Chemical Biological Incident Response Force, II Marine Expeditionary Force, following a live chemical-warfare agent training evolution, Sept. 13. All personal protective equipment, including the mask, is required to be thoroughly decontaminated to avoid cross-contamination.

M-40 field protective masks dry in the sun after being decontaminated by Decontamination Team, Company A, Chemical Biological Incident Response Force, II Marine Expeditionary Force, following a live chemical-warfare agent training evolution, Sept. 13. All personal protective equipment, including the mask, is required to be thoroughly decontaminated to avoid cross-contamination.

Photo Date Taken: 9/13/2006

Unit: Chemical/Biological Incident Response Force

Photo ByLine: Sgt. Christopher Reed

Photo VRIN: getthumbnail1.jpg

Photo Size:9KB (download high-res image)

Lt.Gen. Richard Natonski, commander, U.S. Marine Corps Forces Command (right), talks with Sgt. Peter Towle, technical rescue technician, Chemical Biological Incident Response Force, II Marine Expeditionary Force, (left). During Natonski’s visit, Towle showed him how to stabilize a structure using shoring.

Lt.Gen. Richard Natonski, commander, U.S. Marine Corps Forces Command (right), talks with Sgt. Peter Towle, technical rescue technician, Chemical Biological Incident Response Force, II Marine Expeditionary Force, (left). During Natonski’s visit, Towle showed him how to stabilize a structure using shoring.

Photo Date Taken: 12/9/2008

Unit: Chemical/Biological Incident Response Force

Photo ByLine: Sgt. Leslie Palmer

Photo VRIN: 081209-M-1441P-002

Photo Size:3MB (download high-res image)

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