BTypes of Battle Fatigue

(1) Mild. A soldier with mild battle fatigue can be rested and restored in own unit or its closest logistical support element.

(2) Moderate. A soldier with moderate battle fatigue is too much a burden to stay with unit. The soldier needs medical/mental health evaluation, but can be treated and assigned to nonmedical logistical unit.

(3) Severe. A soldier with severe battle fatigue is too disruptive to stay in nonmedical setting. The soldier requires specialized care, but still may recover fully and quickly.

c. Symptoms of Battle Fatigue. The following are indicators of battle fatigue.

(1) "Thousand-yard-stare" (normal and common after heavy combat; improves with 1 to 2 days rest).

(2) Hyperalertness.

(3) Tension, startle response, fine tremors (becomes selective in veterans, but increases again with sleep loss and cumulative combat).

(4) Psychological symptoms (normal and very common).

(a) Headaches.

(c) Nausea, vomiting.

(d) Bowel and urinary symptoms.

(5) Irritability (warning signs--silent, withdrawn, or "vicious" in own group).

(6) Inability to concentrate.

(7) Insomnia, terror dreams (afraid to sleep; therefore, symptoms get worse). stress).


(8) Inertia, indecision, tiredness (can lead to mistakes and increased

(9) Depression (motor retardation, crying, survivor guilt).

(10) Anxiety reactions (gross tremors, extreme startle).

(11) Memory loss (amnesia, complete or partial; "fugue" flight).

"Fugue" flight individuals perform acts of which they appear to be conscious but, upon recovery, have no recollections of the acts.

(12) Loss of functions ("conversion reactions" that impair the soldier's job).

(b) Motor (paralysis, abnormal tics).

(c) Speech (stuttering, mute, can't understand).

(d) May mimic NBC, laser, or other hidden injury.

(13) Disorganization (impulsive, unpredictable behavior such as violent outburst, panic, freeze, stupor, hallucinations of battle).

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