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Basic Training
Picture of stingerwooten
Posted
Greetings my fellow veterans!
I have a question for all of you; Can you be awarded the Purple Heart for traumatic brain injury (TBI)? I was less than ten feet away when an enemy 57mm rocket exploded, knocking me over a concrete barrier. I have recently been diagonosed with TBI through the VA. Am I really eligible for this award?

My understanding is that any enemy inflicted wound, whether or not there is observable blood loss, merits the Purple Heart. (Invisible) brain injury caused by an enemy-inflicted concussion or blow, such as an IED explosion, mortar or rocket that renders the serviceperson even temporarily incapacitated is a wound even though brain trauma is not immediately visible to the naked eye.

IAW AR 600-8-22; 2–8. Purple Heart item g.(5) Examples of enemy-related injuries which clearly justify award of the Purple Heart are as follows: Concussion injuries caused as a result of enemy generated explosions.

To be honest, I never even thought about applying for this award, until I saw the head of the Polytrauma Clinic at the VA I go to. Based on his recommendation he said I should apply, as I supposedly meet the criteria.

Any comments? Constructive criticism? Help?
 
Posts: 29 | Registered: Mon 22 August 2005Reply With QuoteEdit or Delete Message
Trust Me, I used to be a Recruiter

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Hell yes, go for it. This is a lot differant than PTSD. I think the hardest thing is the Army and VA's attitude. If you have a VA doctor saying that, start burning your copies of your VA med records, and written statements from those that saw it happen. That'll be the hardest part. I'ld say go for it. It can only help you in prooving other things with VA down the line. Good luck with it.
 
Posts: 2509 | Registered: Tue 07 January 2003Reply With QuoteEdit or Delete Message
Moderator Marine Forums

"A Marine on duty has no friends."
Picture of FormerEmbassyMarine
Posted Hide Post
A broken bone as a result of an enemy inflicted explosion isn't ALWAYS seen by the naked eye either.

If it is a bonafide injury, I say go for it.

The rule on blood loss is false and a little too hollywood.

We had a soldioer on here a while back (Army KidKrista I believe) receive on for an IED inflicted concussion.

Your brain was thrown around inside your head violently,...you rate at least a look for the award.

AR 600-8-22 Military Awards
quote:
2–8. Purple Heart
a. The Purple Heart was established by General George Washington at Newburgh, New York, on 7 August 1782,
during the Revolutionary War. It was reestablished by the President of the United States per War Department General
Orders 3, 1932 and is currently awarded pursuant to Executive Order 11016, 25 April 1962; Executive Order 12464, 23
February 1984; Public Law 98-525, 19 October 1984 amended by Public Law 100–48, 1 June 19871; Public Law 103-160, 30 November 1993; Public Law 104-106, 10 February 1996; and Public Law 105-85, 18 November 1997.
b. The Purple Heart is awarded in the name of the President of the United States and per 10 USC 1131, effective 19 May 1998, is limited to members of the Armed Forces of the United States who, while serving under component
authority in any capacity with one of the U.S. Armed Services after 5 April 1917, has been wounded or killed, or who has died or may hereafter die after being wounded—
(1) In any action against an enemy of the United States.
(2) In any action with an opposing armed force of a foreign country in which the Armed Forces of the United States are or have been engaged.
(3) While serving with friendly foreign forces engaged in an armed conflict against an opposing armed force in which the United States is not a belligerent party.
(4) As the result of an act of any such enemy of opposing Armed Forces.
(5) As the result of an act of any hostile foreign force.
(6) After 28 March 1973, as the result of an international terrorist attack against the United States or a foreign nation friendly to the United States, recognized as such an attack by the Secretary of Army, or jointly by the
Secretaries of the separate armed services concerned if persons from more than one service are wounded in the attack.
(7) After 28 March 1973, as the result of military operations while serving outside the territory of the United States as part of a peacekeeping force.
(8) Members killed or wounded in action by friendly fire. In accordance with 10 USC 1129 for award of the Purple Heart, the Secretary of the Army will treat a member of the Armed Forces described in (a), below, in the same manner as a member who is killed or wounded in action as the result of an act of an enemy of the United States.
(a) A member described in this subsection is a member who is killed or wounded in action by weapon fire while directly engaged in armed conflict, other than as the result of an act of an enemy of the United States, unless (in the
case of a wound) the wound is the result of willful misconduct of the member.
(b) This section applies to members of the Armed Forces who are killed or wounded on or after 7 December 1941. In the case of a member killed or wounded, as described in paragraph 2–8b above, on or after 7 December 1941 and
before 30 November 1993, the Secretary of the Army will award the Purple Heart under provisions of paragraph 2–8a above in each case which is known to the Secretary before such date or for which an application is made to the Secretary in such manner as the Secretary requires.
c. While clearly an individual decoration, the Purple Heart differs from all other decorations in that an individual is not "recommended" for the decoration; rather he or she is entitled to it upon meeting specific criteria.
d. A Purple Heart is authorized for the first wound suffered under conditions indicated above, but for each subsequent award an Oak Leaf Cluster will be awarded to be worn on the medal or ribbon. Not more than one award
will be made for more than one wound or injury received at the same instant or from the same missile, force, explosion, or agent.
e. A wound is defined as an injury to any part of the body from an outside force or agent sustained under one or more of the conditions listed above. A physical lesion is not required, however, the wound for which the award is made must have required treatment by medical personnel and records of medical treatment for wounds or injuries received in
action must have been made a matter of official record.
f. When contemplating an award of this decoration, the key issue that commanders must take into consideration is the degree to which the enemy caused the injury. The fact that the proposed recipient was participating in direct or indirect combat operations is a necessary prerequisite, but is not sole justification for award.
g. Examples of enemy-related injuries which clearly justify award of the Purple Heart are as follows:
(1) Injury caused by enemy bullet, shrapnel, or other projectile created by enemy action.
(2) Injury caused by enemy placed mine or trap.
(3) Injury caused by enemy released chemical, biological, or nuclear agent.
(4) Injury caused by vehicle or aircraft accident resulting from enemy fire.
(5) Concussion injuries caused as a result of enemy generated explosions.
h. Examples of injuries or wounds which clearly do not justify award of the Purple Heart are as follows:
(1) Frostbite or trench foot injuries.
(2) Heat stroke.
(3) Food poisoning not caused by enemy agents.
(4) Chemical, biological, or nuclear agents not released by the enemy.
(5) Battle fatigue.
(6) Disease not directly caused by enemy agents.
(7) Accidents, to include explosive, aircraft, vehicular, and other accidental wounding not related to or caused by enemy action.
(8) Self-inflicted wounds, except when in the heat of battle and not involving gross negligence.
(9) Post traumatic stress disorders.
(10) Jump injuries not caused by enemy action.
i. It is not intended that such a strict interpretation of the requirement for the wound or injury to be caused by direct result of hostile action be taken that it would preclude the award being made to deserving personnel. Commanders must also take into consideration the circumstances surrounding an injury, even if it appears to meet the criteria. Note
the following examples:
(1) In a case such as an individual injured while making a parachute landing from an aircraft that had been brought down by enemy fire; or, an individual injured as a result of a vehicle accident caused by enemy fire, the decision will be made in favor of the individual and the award will be made.
(2) Individuals injured as a result of their own negligence; for example, driving or walking through an unauthorized area known to have been mined or placed off limits or searching for or picking up unexploded munitions as war
souvenirs, will not be awarded the Purple Heart as they clearly were not injured as a result of enemy action, but rather
by their own negligence.
j. During wartime the senior Army commander in the combat theater can award the Purple Heart as approval authority when delegated by the Secretary of the Army. The National Personnel Records Center, 9700 Page Avenue, St. Louis, MO 63132–5100, awards the Purple Heart to any member of the Army, who during World War I, was awarded a Meritorious Service Citation Certificate signed by the Commander in Chief, American Expeditionary Forces, or who was authorized to wear wound chevrons, upon written application. Approval authority for the Purple Heart for Army personnel wounded or killed as the result of an international terrorist attack is the Secretary of the Army. All other requests for award of the Purple Heart are processed by the Commander, USA HRC (AHRC–PDO–PA). The following types of requests for award of the Purple Heart will be forwarded to the Commander, USA HRC,
ATTN:
AHRC–PDO–PA, 200 Stovall Street, Alexandria, VA 22332–0471:
(1) Any member of the Army who was awarded the Purple Heart for meritorious achievement or service, as opposed
to wounds received in action, between 7 December 1941 and 22 September 1943, may apply for award of an appropriate decoration instead of the Purple Heart.
(2) For those who became Prisoners of War during World War II, the Korean War and before and after 25 April 1962, the Purple Heart will be awarded to individuals wounded while prisoners of foreign forces, upon submission by the individual to the Department of the U.S. Army of an affidavit that is supported by a statement from a witness, if this is possible.
(3) Any member of the U.S. Army who believes that he or she is eligible for the Purple Heart, but through unusual circumstances no award was made, may submit an application through military channels, to the Commander, USA HRC, ATTN: AHRC–PDO–PA. The application will include complete documentation, to include evidence of medical
treatment, pertaining to the wound.
k. The following rules apply for processing award of the Purple Heart:
(1) The statutory time limits pertaining to award of military decorations does not apply to the Purple Heart. The Purple Heart may be awarded at anytime after submission of documented proof that criteria have been met.
(2) Approved awards of the Purple Heart require the publication of permanent orders according to AR 600–8–105, citing each recipient. A DA Form 4980–10 (The Purple Heart Medal Certificate) will include the following information:
The recipient’s name and grade, date wounded in action, and date certificate is signed. All Purple Heart Medal certificates will bear the signature and signature block of the Secretary of the Army on the right side. During wartime the signature and signature block of the commander authorized to award the Purple Heart will be on the left side. All
other Purple Hearts awarded will bear the signature and signature block of The Adjutant General of the Army.
(3) Each approved award of the Purple Heart must exhibit all of the following factors: wound, injury or death must have been the result of enemy or hostile act; international terrorist attack; or friendly fire (as defined in paragraph b(8) above) the wound or injury must have required treatment by medical officials; and the records of medical treatment must have been made a matter of official Army records.
(4) Recommendations for award of the Purple Heart based on alleged international terrorist attacks must be accompanied by a written evaluation from the MACOM security and intelligence staff officer indicating that international terrorist activity was involved. Should any enclosures be classified the prescribed security measures will be followed. This requirement is in addition to the other eligibility criteria. HQ, USA HRC (AHRC–PDO–PA) will confirm the international terrorist report with the Office of the Deputy Chief of Staff, G–2 (ODCS, G-2) prior to forwarding the Purple Heart recommendations to the Secretary of the Army for final decision.
l. The Defense of Freedom Medal (DOFM), established on 4 October 2001, is the civilian equivalent to the Purple Heart awarded to U.S. military personnel. Refer to AR 672–20 for criteria and requirements for the DOFM.


)5 is highlighted
 
Posts: 4026 | Registered: Sat 01 July 2006Reply With QuoteEdit or Delete Message
Basic Training
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I had a buddy who was in the same situation. He recieved the purple heart. It took some doing getting all the paperwork but it was processed. Good luck
 
Posts: 6 | Registered: Wed 04 June 2008Reply With QuoteEdit or Delete Message
Basic Training
Picture of stingerwooten
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Thanks for everyone's support and nice comments! I also serve as a Service Officer for the VFW. This will also really help me out if I ever have a veteran who is in the same situation as I am. Appreciate the input! Wink
 
Posts: 29 | Registered: Mon 22 August 2005Reply With QuoteEdit or Delete Message
Member
Picture of redleg13f
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You should definately pursue the PH. Besides meeting the letter and spirit of the award, the Purple Heart is more than just a medal. It impacts your VA catagory for medical benifits and solidifies Uncle Sam's acknowledgement that the injury was received in the line of duty. You may need it years from now when you have reoccuring medical issues and some office jockey that only heard about Iraq back in High School says you need to prove it five times over that it was service related.
I don't mean to be synical, but when it comes to health issues I think you can never have too much documentation. CYA as many times as you can.
 
Posts: 315 | Registered: Mon 06 March 2006Reply With QuoteEdit or Delete Message
Moderator Marine Forums

"A Marine on duty has no friends."
Picture of FormerEmbassyMarine
Posted Hide Post
quote:
CYA as many times as you can


That wisdom served me well in my VA claim war.

I won.

Went from 10% to 40%.
 
Posts: 4026 | Registered: Sat 01 July 2006Reply With QuoteEdit or Delete Message
Member
Picture of Slotman1958
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quote:
I don't mean to be synical, but when it comes to health issues I think you can never have too much documentation. CYA as many times as you can.


Amen to that. That doesn't just go for health issues, but anything having to do with pay or other benefits as well.
 
Posts: 330 | Registered: Wed 29 December 2004Reply With QuoteEdit or Delete Message
Basic Training
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Ok so I've got a question. The closest IED I hit was in August 2004. I had bleeding from both ears, concussion and resulting symptoms (dizziness, confusion etc), and deafness for several days. My ears still bleed about once a month, and ring constantly. I was tasked to another unit for the patrol and therefore no paperwork was ever done at the unit level.

We're a NG unit and we came home after our tour, no biggie. About 2 years ago, my new PSG put me and a few other guys in for a PH. We all did sworn statements and forwarded medical/VA documents up the chain. The documents came back because we all forgot to initial a part of the sworn statement, and we resubmitted them about 1.5 years ago.

No word at all from the chain of command. So question: Who signs off on them, and if they are denied will we get a denial letter, or are they just lost in limbo somewhere? According to the reg, I am entitled a PH, but I personally don't think I deserve it for such a minor injury. I'm perfectly happy with my CIB Cool. But I am curious.

Every now and then the issue comes up and everybody is confused on what happened to the paperwork, and nobody seems to have an answer.

Sorry for the necropost.
 
Posts: 3 | Registered: Sat 28 June 2008Reply With QuoteEdit or Delete Message
Experienced Member
Picture of foxred03
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TBI is a leading injury in Iraq. It's a lot worse than a minor shrapnel wound or other "classic" Purple Heart wounds. It can screw someone up for the rest of their life. It definetly warrants a PH in my opinion.
 
Posts: 3131 | Registered: Thu 02 January 2003Reply With QuoteEdit or Delete Message
Member
Picture of simonferrer
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quote:
Originally posted by MDB2:
Ok so I've got a question. The closest IED I hit was in August 2004. I had bleeding from both ears, concussion and resulting symptoms (dizziness, confusion etc), and deafness for several days. My ears still bleed about once a month, and ring constantly. I was tasked to another unit for the patrol and therefore no paperwork was ever done at the unit level.

We're a NG unit and we came home after our tour, no biggie. About 2 years ago, my new PSG put me and a few other guys in for a PH. We all did sworn statements and forwarded medical/VA documents up the chain. The documents came back because we all forgot to initial a part of the sworn statement, and we resubmitted them about 1.5 years ago.

No word at all from the chain of command. So question: Who signs off on them, and if they are denied will we get a denial letter, or are they just lost in limbo somewhere? According to the reg, I am entitled a PH, but I personally don't think I deserve it for such a minor injury. I'm perfectly happy with my CIB Cool. But I am curious.

Every now and then the issue comes up and everybody is confused on what happened to the paperwork, and nobody seems to have an answer.

Sorry for the necropost.


For a backdated deployment award packet, it has to go through your battalion to it's next higher MACOM if it has one (usually a Troop Command or an Area Support Group, if you don't have a full division or brigade in your state), and from there to your State Headquarters to be reviewed and signed off on by the Adjutant General. If approved by the TAG, the packet goes to the U.S. Army Human Resources Command in Arlington, VA for final approval/disapproval. The packet can be disapproved at any step in the chain, usually with the packet being returned to the generating headquarters with notes on why it was dissapproved. The approval chain for these packets is far from perfect, and there have been cases of packets getting lost, or subordinate headquarters holding up the packet because they have their own interpretation of HRC's guidance on the subject. Your PSG can bring it up to your 1SG, and he can check with your S-1 shop (they'll be the one's with the best eyes on the packet's progress through the system). Hope this helped.. Smile
 
Posts: 416 | Registered: Wed 16 April 2008Reply With QuoteEdit or Delete Message
Basic Training
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Roger, thanks.
 
Posts: 3 | Registered: Sat 28 June 2008Reply With QuoteEdit or Delete Message
Basic Training
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I was awarded the Purple heart for being wouned by an IED 3 July 07(Shrapnel to the arms and face). A year later and I'm being treated for TBI.

with the recent diagnosis of TBI (another injury from the same IED) would that warrant a 2nd P?. I was told it may and to be honest find that hard to believe. Feel free to leave a reply on this.
 
Posts: 2 | Registered: Thu 19 June 2008Reply With QuoteEdit or Delete Message
Basic Training
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No. One PH per incident.

Here is a funny one..We (my team attached to B/1/502) were hit by a SVBIED while camping out in Hajj's house. Received schrapnel wounds, concussion, etc. Then went outside to engage, and took a richochet RPK off a wall and into my shoulder. Same incident, two totally different wounds, one PH.
 
Posts: 45 | Registered: Wed 30 January 2008Reply With QuoteEdit or Delete Message
Basic Training
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USAjoerob,

Since both the shrapnel wounds and TBI resulted from the same incident only one PH is awarded.
Happened to me on two occasions when I received shrapnel, puncture and gunshot wounds at different times during the same incident. Always thought of it as one PH per medevac ride.
 
Posts: 232 | Registered: Tue 01 July 2003Reply With QuoteEdit or Delete Message
Member
Picture of 101AASLT
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You can get a PH for IED/VBIED concussive injuries?? I'd have 6 then if this was so...
 
Posts: 707 | Registered: Fri 16 August 2002Reply With QuoteEdit or Delete Message
Basic Training
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As long as they're treated injuries yes. If everytime you got blown up you had to see the medic about a cut or a sprain or broken finger or a burn whatever that's an enemy inflicted injury that qualifies. There's alot of wisdom in the helps you with the VA point of view. I got my purple heart for stepping in a mortor hole and breaking some bones in my foot while I was running to a position in a firefight. I was medivaced to Balad and had some who knows who he was 1 star come around and pin one on. The paperwork was done by the time I demobilized. I understand on a 1 to ten scale 10 being KIA I'm like a 0.01 but that's why I don't have PH license plates or have it hanging in my shadow box. Am I happy it's on my DD-214 now that I'm filing for a disability rating. Yep.
 
Posts: 4 | Registered: Sat 02 December 2006Reply With QuoteEdit or Delete Message
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