DI/EDIPI/SSN: Branch of Service & Unit: Date of Injury: Time of Injury: Examiner: Date of Evaluation: Time of Evaluation: Purpose: MACE 2 is a multimodal tool that assists providers in the assessment and diagnosis of concussion. The scoring, coding and steps to take after completion are found at the end of the MACE 2. Timing: MACE 2 is most effective when used as close to the time of injury.
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How to fill out the Military Acute Concussion Evaluation 2 (MACE 2) online
The Military Acute Concussion Evaluation 2 (MACE 2) is a vital tool used for assessing and diagnosing concussion injuries. This guide will provide you with detailed instructions on how to complete the MACE 2 online, ensuring that you can accurately record essential information as close to the time of injury as possible.
Follow the steps to effectively complete the MACE 2 online.
- Press the ‘Get Form’ button to access the MACE 2 document and open it in the designated editor.
- Begin by entering the service member's name, DoDI/EDIPI/SSN, branch of service, and unit information in the corresponding fields provided at the top of the form.
- Record the date and time of the injury in the specified fields. This information is crucial and should be filled out as accurately as possible using the format requested.
- Identify the examiner's name along with the date and time of evaluation to keep track of who conducted the assessment.
- In the 'Military Acute Concussion Screening' section, describe the incident that caused the injury. Utilize open-ended questions to gather detailed information, such as what happened and who was present.
- Assess observable signs of a concussion as listed in the form, marking any that were witnessed at the time of injury.
- Check the boxes to indicate the type of event that caused the injury (e.g., blunt object, sports injury, or fall). If applicable, record the estimated distance.
- Indicate whether there was any blow or jolt to the head by answering the specific questions presented.
- Determine if there was any alteration of consciousness or memory, loss of consciousness, or post-traumatic amnesia. Answer the questions accordingly, specifying duration where necessary.
- Continue filling in symptoms that were experienced after the incident by selecting all that apply from the provided list.
- Respond to the history questions regarding previous concussion diagnoses, headache disorders, or mental health concerns.
- Based on the responses, determine if there is a positive or negative concussion screen to guide further evaluation.
- Proceed to the cognitive examination section by scoring the orientation, immediate memory, and concentration questions provided.
- Complete the neurological exam by assessing speech fluency, word finding, grip strength, and other neurological parameters.
- Finish the vestibular/ocular-motor screening section by following the instructions for each specific test and recording the results accurately.
- Once all sections of the MACE 2 are complete, review the data for accuracy before saving the changes or printing the final document.
- Finally, make sure to share the MACE 2 results with the appropriate healthcare provider or record them in the electronic health record as necessary.
Complete your MACE 2 form online today to ensure timely assessment and management of concussion injuries.
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Get answers to your most pressing questions about US Legal Forms API.
What is concussion protocol?
WHAT IS A CONCUSSION PROTOCOL/POLICY? A concussion protocol is an organization's set of policies, tools, and assessments for caring for a concussion. It outlines how the concussion care team prepares for and responds to this injury.
What is acute concussion evaluation?
The ACE — the easy name for the Acute Concussion Evaluation — is an innovative assessment tool that can be used for the initial evaluation and diagnosis of people who have a known or suspected concussion or mild TBI.
What is the concussion test?
Concussion tests assess your brain function after a head injury. Most concussion tests consist of questionnaires or symptom checklists. Concussion tests check for things like alertness, memory, focus, how fast you think and your ability to solve problems. They also check your balance and coordination.
What are the 3 main components of concussion evaluations?
The evaluation includes a clinical exam, self-reported symptom checklist, postural assessment, and neurocognitive testing [8-10].
What is military acute concussion evaluation version?
The Military Acute Concussion Evaluation, or MACE, is a standardized mental status exam that is used to evaluate mild TBI, or concussion, in a combat or other deployed setting. This screening tool was developed to evaluate a person with a suspected concussion, and is used to identify symptoms of mild TBI.
What symptoms are listed in Mace 2?
Symptom Screening – screens for symptoms including headache, dizziness, memory problems, balance problems, nausea/vomiting, difficulty concentrating, irritability, visual disturbances, and ringing in the ears.
What is the purpose of the Mace 2?
Purpose: MACE 2 is a multimodal tool that assists providers in the assess- ment and diagnosis of concussion. The scoring, coding and steps to take after completion are found at the end of the MACE 2. Timing: MACE 2 is most effective when used as close to the time of injury as possible.
When using the mace 2 card what type of text is designed to be read exactly as written?
Words in italics are said exactly as written. Score a point for each correct answer; maximum score is 5. This cognitive exam is most reliable within 12 hours of injury.
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