Handling Serious Injuries for Military Service Members: The Process and Outcomes

When a military service member suffers a serious injury that affects their ability to serve for an extended period, the process of handling such situations is meticulously managed by the military. This article explores the steps taken to address severe injuries and the various outcomes for those involved.

Initial On-Site Treatment and Transfer

In the case of a serious injury, such as a broken arm or leg or a more severe condition, the immediate on-site treatment is critical. Corpsmen or Medics from each branch of the military provide initial care, stabilizing the victim with a splint and then guiding them to the nearest Battalion Aid Station (BAS). The BAS then assists in forwarding the injured service member to the nearest base hospital. These hospitals specialize in providing comprehensive treatment, which might include surgery if necessary.

Treating the Injured Service Member

Once at the base hospital, medical professionals perform a thorough evaluation to address the injury. Depending on the severity, this might involve surgical intervention or other forms of treatment. Following initial care, doctors assess the patient's chances of full recovery. If it is determined that the injury will result in permanent loss of ability to perform their job, the service member may be referred for a medical discharge.

Medical Discharge Process

The Disabled Evaluation System (DES) is the framework used for determining eligibility for medical discharges. This system consists of several key components:

Medical Evaluation Board (MEB): An initial review by a board of medical professionals who evaluate the injury and its impact on the service member's ability to serve.

Physical Evaluation Board (PEB): A more in-depth review that determines the level of disability and its permanence. This evaluation is conducted in accordance with VA standards.

The MEB often consolidates earlier assessments, streamlining the process. The Enhanced DES system has significantly reduced the time required for this process, with an average period of 107 days for active-duty personnel and 149 days for reservists. Under the new system, a single physical examination is sufficient for both the MEB and PEB, aligning with VA standards.

Consequences of a Medical Discharge

Temporary Disability Retirement List (TDRL) continue to receive their half salary along with full medical benefits, ensuring they are supported until they can transition fully to the Veterans Affairs (VA) system.

Ensuring Timely and Effective Care

The process of addressing serious injuries in the military is designed to be comprehensive and efficient. By utilizing specialized medical facilities and following established systems, the military aims to ensure that service members receive the care they need while minimizing the time it takes to determine their eligibility for medical discharges.

Keywords: military injury, medical discharge, temporary disability retirement