Trauma casualties with suspected head injury/TBI due to mechanism, obvious wounds, or proximity to blast event (within 50 meters) should be referred to medical personnel as soon as possible for Military Acute Concussive Evaluation 2 (MACE 2). This evaluation is most effective when done as soon as possible after the injury.
If ANY of the following RED FLAG signs and symptoms are present, MACE 2 should be deferred and urgent evacuation to a higher level of medical care considered: