A field-ready trainer for the Military Acute Concussion Evaluation. Understand the why behind every section through real casualty scenarios — then complete an interactive card that scores itself and hands you the actions, care indications, and EHR coding.
2
gates for a positive screen: a blow to the head and altered consciousness/memory
30
max cognitive points — a total of ≤ 25 is abnormal
8
red flags — any one means defer & evacuate
14
source pages compressed into one working tool
Training aid based on MACE 2 (Traumatic Brain Injury Center of Excellence, Revised 02/2026), which states it may be copied for clinical use. Not a substitute for clinical judgment. Escalate per TCCC and local protocol.
THE LEARNING EXPERIENCE
Why each section exists
Nineteen scenarios from real casualty stories walk the whole MACE 2, section by section. Read the reasoning, glance at the real card page beside each lesson, then make the call — answers reveal the clinical logic.
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REAL CASE
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INTERACTIVE CARD
MACE 2 Evaluation
Use as close to time of injury as possible
SAFETY FIRST
Red Flags
Evaluate in GCS 13–15
⚠ Red flag present — defer MACE 2
Immediately consult a higher level of care and consider urgent evacuation per evacuation precedence / TCCC. You may continue documenting, but escalation takes priority.
SECTION 1–4
Concussion Screening
Was there an injury event and an alteration of consciousness or memory?
Observable signs at time of injury
Type of event (check all that apply)
1D · Was there a blow or jolt to the head? (a felt blast wave counts)
Any single abnormal finding makes the neuro exam abnormal.
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SECTION 17
VOMS
Any symptom score above baseline (HDNF) is abnormal. Contraindicated with unstable cervical spine.
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AUTOMATED RESULTS
Summary & care indications
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EHR / DOCUMENTATION BLOCKwith ICD-10 coding sequence
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Decision support only — not a substitute for clinical judgment. Escalate per TCCC and local protocol. MACE 2 (TBICoE, Rev 02/2026); may be copied for clinical use.