US Department of Defense
BLAST INJURY RESEARCH
COORDINATING OFFICE
Advancing Blast Injury Research to Protect and Heal Those Who Serve

History

The Blast Injury Research Coordinating Office (BIRCO)

Blast Injury Research Coordinating Office Collage The establishment of the Blast Injury Research Coordinating Office (BIRCO) created a centralized function within the United States (US) Department of Defense (DoD) for ensuring effective mechanisms exist for focusing and coordinating DoD blast injury research efforts and the collaboration with research expertise outside the DoD. Since its inception in 2007, the BIRCO has overcome long-standing, widely-recognized barriers to communication between the medical, materiel development, test and evaluation, and operational communities, provided the timely flow of critical information, and identified unnecessary and/or duplicative blast injury research, and critical blast injury knowledge gaps that remain. The BIRCO is leveraging the lessons learned from decades of blast injury research–dating back to the 1950s, to coordinate current efforts and steer DoD research organizations and investments to address these gaps. The BIRCO's understanding of what was accomplished, and what research remains to be done is critical to focus and prioritize blast injury research efforts as a holistic strategy to make the best use of limited resources.

In response to a Congressional mandate (Public Law 109-163, Section 256) to improve the coordination of blast injury research, the DoD issued DoD Directive (DoDD) 6025.21E on July 5, 2006, which established the DoD Blast Injury Research Program as an Executive Agency. The Secretary of the Army (SECARMY) was designated as the DoD Executive Agent (EA) for Medical Research for Prevention, Mitigation, and Treatment of Blast Injuries, and the Assistant Secretary of Defense for Research and Engineering (ASD(R&E)) was assigned program oversight to ensure blast injury research is well-coordinated across DoD stakeholder communities. In 2007, following a series of delegations, the Commander, US Army Medical Command (USAMEDCOM), assumed EA authority for the DoD Blast Injury Research Program and established the Blast Injury Research Coordinating Office (BIRCO) at the US Army Medical Research and Development Command (USAMRDC) to assist in fulfilling EA responsibilities and functions. In 2017, SECARMY delegated EA authority to the Surgeon General (TSG), who further delegated EA authority to the Commander, USAMRDC.

Read more about the BIRCO's current activities...


Timeline

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2006
  • Secretary of the Army delegated Executive Agent (EA) authority to the Assistant Secretary of the Army for Acquisition, Logistics, and Technology (ASA(ALT)).
  • ASA(ALT) delegated EA authority and assigned program responsibility to the Commander, United States Army Medical Command (USAMEDCOM).
  • Commander, USAMEDCOM, established the Blast Injury Research Program Coordinating Office (PCO) as a permanent office at the US Army Medical Research and Materiel Command (USAMRMC) to support the EA.
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

  • Disseminating Blast Injury Research Information. Published the Fiscal Year 2007 Annual Report to Congress: Efforts and Programs of the Department of Defense (DoD) Relating to the Prevention, Mitigation, and Treatment of Blast Injuries that identifies blast injury knowledge gaps and capability needs, describes collaborative research efforts, and documents progress to incorporate blast injury effects data into "end user" programs.
  • Shaping Research Programs. Co-developed the investment strategy for the Fiscal Year 2007 Congressional appropriation of $300 million to accelerate research on prevention, detection, diagnosis, and treatment of post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) resulting from military operations.
2007
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

    Disseminating Blast Injury Research Information. Published the Fiscal Year 2008 Annual Report to Congress: Efforts and Programs of the Department of Defense Relating to the Prevention, Mitigation, and Treatment of Blast Injuries that identifies blast injury knowledge gaps and capability needs, describes collaborative research efforts, and documents progress to incorporate blast injury effects data into "end user" programs.
  • Promoting Information Sharing and Partnerships. Hosted a delegation from the Singapore Defense Medical and Environmental Research Institute to share critical research information and identify opportunities for the United States and Singapore to collaborate on blast-induced brain injury computational modeling projects.
  • Shaping Research Programs. Identified and reported to the Task Force on Assessment of Medical Research and Development Investments, Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics (USD(AT&L)), fiscal year (FY) 2010 to 2015 unfunded requirements for high-priority blast injury research totaling $1.7 billion.
2008
2009
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

    Disseminating Blast Injury Research Information. Published the Fiscal Year (FY) 2009 Report to the Executive Agent: Science and Technology Efforts and Programs Relating to the Prevention, Mitigation, and Treatment of Blast Injuries, as a resource for the blast injury research community. This report highlights the activities undertaken in FY09 by the Blast Injury Research Program to advance the state of the science and solve difficult blast injury problems. Read more…
  • Identifying Blast Injury Knowledge Gaps. Organized and hosted the International State-of-the-Science (SoS) Meeting, "Blast Injury Dosimetry," to explore ways to objectively record and document blast-related exposures and to correlate these exposures with acute injuries or chronic health effects. Read more…
  • Shaping Research Programs. Coordinated and conducted five working group meetings for the Department of Defense (DoD) Brain Injury Computational Modeling Expert Panel, which advises the DoD on the development and use of computational modeling to understand the mechanisms of non-impact, blast-induced mild traumatic brain injury (mTBI) and to guide the development of effective protection systems. Read more…
2010
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

    Facilitating Collaboration. Established a Memorandum of Understanding (MOU) between the United States Army Medical Research and Materiel Command (USAMRMC) and the Office of Naval Research (ONR) to transition injury and performance prediction models developed by USMRMC to ONR for validation and future Navy applications.
  • Identifying Blast Injury Knowledge Gaps. Collaborated with the Department of Defense (DoD) Hearing Center of Excellence (HCE) and the Department of Veterans Affairs (VA), to organize and host the International State-of-the-Science (SoS) Meeting, "Blast-Related Tinnitus," to assess current knowledge regarding the cause, diagnosis, and treatment of tinnitus and to identify research gaps for further investigation. Read more…
  • Promoting Information Sharing and Partnership. Co-chaired the North Atlantic Treaty Organization (NATO) Human Factors and Medicine (HFM)-207 Symposium: A Survey of Blast Injury across the Full Landscape of Military Science, which served as an initial assessment of the state of the science for blast injury. The symposium resulted in a Technical Activity Proposal to establish a group focused on a toxicological approach to blast injury. This became the NATO HFM-234 Research Task Group (RTG). Read more…
  • Promoting Information Sharing and Partnership. Coordinated with the USAMRMC Military Operational Medicine Research Program (MOMRP) to release MOMRP's blast lung injury prediction software application known as "INJURY" to the Technical Team for NATO HFM-198, "Injury Assessment Methods for Vehicle Active and Passive Protection Systems."
2011
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

    Disseminating Blast Injury Research Information. Published the Fiscal Year (FY) 2010 to 2011 Report to the Executive Agent: Science and Technology Efforts and Programs Relating to the Prevention, Mitigation, and Treatment of Blast Injuries, as a resource for the blast injury research community. This report highlights the activities undertaken in FY10 and FY11 by the Blast Injury Research Program to advance the state of the science and solve difficult blast injury problems. Read more…
  • Promoting Information Sharing and Partnership. Nominated to chair the North Atlantic Treaty Organization (NATO) Human Factors and Medicine (HFM)-234 Research Task Group (RTG), "Environmental Toxicology of Blast Exposures: Injury Metrics, Modeling, Methods and Standards," to develop standardized tools and guidelines for conducting focused, multidisciplinary research that will lead to an understanding of the mechanisms of blast injuries. Read more…
2012
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

    Disseminating Blast Injury Research Information. Published "Mathematical Models of Blast-Induced Traumatic Brain Injury (TBI): Current Status, Challenges and Prospects" in the journal, Frontiers in Neurology, which describes how mathematical modeling advances understanding of brain injury mechanisms and supports neuro-diagnostics, treatment, and protection. Read more…
  • Disseminating Blast Injury Research Information. Published the Fiscal Year (FY) 2012 Report to the Executive Agent: Science and Technology Efforts and Programs Relating to the Prevention, Mitigation, and Treatment of Blast Injuries, as a resource for the blast injury research community. This report highlights the activities undertaken in FY12 by the Blast Injury Research Program to advance the state of the science and solve difficult blast injury problems. Read more…
  • Facilitating Collaboration. Co-chaired, with the Defense Threat Reduction Agency (DTRA), a meeting of the Medical and Chemical, Biological, Radiological and Nuclear Defense Working Group of the United States (US)-India Joint Technology Group, the senior bilateral forum between the US Department of Defense (DoD) and Indian Ministry of Defence. Representatives from the two countries discussed cooperation in research and development, production, procurement, and logistics. Read more…
  • Promoting Information Sharing and Partnership. Continued to chair the North Atlantic Treaty Organization (NATO) Human Factors in Medicine (HFM)-234 Research Task Group (RTG), "Environmental Toxicology of Blast Exposures: Injury Metrics, Modeling, Methods, and Standards." Read more…
  • Shaping Research Programs. Participated in the Allied NeuroSensory Warrior Related Research (ANSW2R) effort initiated by the Department of Defense (DoD) Hearing Center of Excellence (HCE) to combine data on injury patterns and treatments of neurosensory injuries across specialties and Services, which supports improvements in the continuum of care and translation of bench-to-bed rehabilitation and reintegration for wounded Service Members.
2013
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

    Disseminating Blast Injury Research Information. Provided the coordinated Department of Defense (DoD) response to the Institute of Medicine (IOM) report, "Gulf War and Health, Volume 9: Long-Term Effects of Blast Exposures," which addressed the level of scientific evidence cited for several health outcome conclusions based upon information from ongoing and/or completed DoD research efforts.
  • Disseminating Blast Injury Research Information. Published the Fiscal Year (FY) 2013 Report to the Executive Agent: Science and Technology Efforts and Programs Relating to the Prevention, Mitigation, and Treatment of Blast Injuries, as a resource for the blast injury research community. This report highlights the activities undertaken in FY13 by the Blast Injury Research Program to advance the state of the science and solve difficult blast injury problems. Read more…
  • Identifying Blast Injury Knowledge Gaps. Organized and hosted the International State-of-the-Science (SoS) Meeting, "Biomedical Basis for Mild Traumatic Brain Injury (mTBI) Environmental Sensor Threshold Values," to identify challenges associated with correlating environmental sensor threshold values to injury outcomes. Read more…
  • Promoting Information Sharing and Partnership. Continued to chair the North Atlantic Treaty Organization (NATO) Human Factors in Medicine (HFM)-234 Research Task Group (RTG), "Environmental Toxicology of Blast Exposures: Injury Metrics, Modeling, Methods, and Standards." Read more…
  • Shaping Research Programs. Initiated two Small Business Innovation Research (SBIR) projects. The Phase I project, "Human Body Model for Computational Assessment of Blast Injury and Protection," will design a modeling framework that integrates anatomical data, geometric modeling tools for human body articulation, blast scene generation, and material property data needed for biodynamic and biomechanical simulations. The Phase II project, "Antimicrobial Textiles," will identify lightweight, durable, antimicrobial textile finishes that will prevent and/or control infections in military medical shelters and field hospitals.
2014
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

    Disseminating Blast Injury Research Information. Published the Fiscal Year (FY) 2014 Report to the Executive Agent: Science and Technology Efforts and Programs Relating to the Prevention, Mitigation, and Treatment of Blast Injuries, as a resource for the blast injury research community. This report highlights the activities undertaken in FY14 by the Blast Injury Research Program, with two special chapters devoted to the Department of Defense (DoD) Hearing Center of Excellence (HCE) and the critical research area of hemorrhage control. Read more…
  • Identifying Blast Injury Knowledge Gaps. Organized and hosted the International State-of-the-Science (SoS) Meeting, "Does Repeated Blast-Related Trauma Contribute to the Development of Chronic Traumatic Encephalopathy (CTE)?" This meeting brought together subject matter experts to discuss evidence linking repeated blast exposure to neurodegeneration and potential prevention, assessment, and treatment strategies. Read more…
  • Promoting Information Sharing and Partnership. Participated and presented two briefings on key blast injury research topics at the 2015 Shoresh Conference on Military Medicine in March, the primary venue for the exchange of information on military medicine between the United States and Israel. Read more…
  • Promoting Information Sharing and Partnership. Continued to chair the North Atlantic Treaty Organization (NATO) Human Factors in Medicine (HFM)-234 Research Task Group (RTG), "Environmental Toxicology of Blast Exposures: Injury Metrics, Modeling, Methods, and Standards." Read more…
2015
2016
  • Secretary of the Army delegated Executive Agent (EA) authority to the Surgeon General, who further delegated program responsibility to the Commander, US Army Medical Research and Materiel Command (USAMRMC).
  • The Blast Injury Research Program Coordinating Office (PCO) supported Executive Agent (EA) responsibilities by:

      Disseminating Information. Published the Fiscal Year (FY) 2016 Report to the Executive Agent: Science and Technology Efforts and Programs Relating to the Prevention, Mitigation, and Treatment of Blast Injuries, as a resource for the blast injury research community. This report highlights the activities undertaken in FY16 by the Blast Injury Research Program, with two stakeholder chapters devoted to the Defense and Veterans Brain Injury Center (DVBIC) and the Warrior Injury Assessment Manikin (WIAMan) Project.

      Published a supplement entitled "Blast-related Trauma and Chronic Traumatic Encephalopathy," in the Journal of Neurotrauma, which captured the proceedings, findings, and recommendations from the 2015 International State-of-the-Science meeting, "Does Repeated Blast-Related Trauma Contribute to the Development of Chronic Traumatic Encephalopathy (CTE)?" The supplement also contains additional original research articles.
    • Promoting Partnership. Continued to chair the North Atlantic Treaty Organization (NATO) Human Factors and Medicine (HFM)-270 Research Task Group (RTG), "Framework for Modeling and Simulation of Human Lethality, Injury, and Impairment from Blast-Related Threats." As a first step in developing a computational modeling framework, HFM-270 (RTG) initiated an assessment of previous, ongoing, and planned biomedical research and computational modeling efforts among participating nations. Read more…

      Co-organized a joint session with the USAMRMC Combat Casualty Research Program at the 2017 Shoresh conference that focused on blast injury prevention. The conference is the primary venue for the exchange of information on military medicine between the US and Israel. Read more…
    • Shaping Research. Managed three phase I Small Business Innovation Research (SBIR) projects in response to the PCO-authored FY16 topic "Warrior Health Avatar." These projects aim to develop a simulation framework and physiology based modeling tools of a warfighter body to enable definitive assessment of health status, physical and physiological performance, and injury trajectory by both the user and medical personnel using mobile computing platforms. Read more…
    • Facilitating Collaboration. Organized the 2nd Japan-US Technical Information Exchange Forum on Blast Injury (JUFBI-2017) in coordination with the National Defense Medical College of the Japan Self-Defense Forces (JSDF), and US Army Research, Development and Engineering Command (RDECOM) International Technology Center-Pacific (ITC-PAC). The forum was an opportunity to exchange ideas and find a mutual understanding of Japan/US efforts in blast injury research. Read more…
2017
Last modified: 18-Jun-2019