United States Department of Veterans Affairs
VA Polytrauma System of Care

Real Stories - Staff Sergeant Benjamin Ricard

 
Benjamin Ricard

Benjamin Ricard

Staff Sergeant, United States Marine Corps

Recovering from injuries sustained during an IED attack in Afghanistan

The Rancho Los Amigos Scale

The Rancho Los Amigos Scale Level I – No response. Patient does not respond to external stimuli and appears asleep. Learn More Level II – Generalized response.  Reacts to external stimuli in nonspecific and inconsistent manner with limited responses. Learn More Level III – Localized response.  Responds with delays to stimuli, but may follow commands for motor action. Learn More Level IV – Confused, agitated response.  Exhibits incoherent or inappropriate behaviors, attention is short and nonselective. Learn More Level V – Confused, inappropriate, non-agitated response.  Gives random, fragmented responses to complex or unstructured stimuli. Learn More Level VI – Confused, appropriate response. Gives context-appropriate, goal-directed responses, dependent upon external input for direction. Learn More Level VII – Automatic, appropriate response. Behaves appropriately in familiar settings, shows carry-over for new learning. Learn More Level VIII – Purposeful, appropriate response. Responds to the environment but abstract reasoning abilities are decreased. Learn More

Roll-over the scale to learn more about each level. Learn more.

In November of 2009, Staff Sergeant Ben Ricard
was driving a Mine Resistant Ambush Protected (MRAP) vehicle when he hit a roadside improvised explosive device. The blast blew him through the door of the vehicle. Ben suffered two broken legs, a broken arm, a broken back, and a traumatic brain injury.

Following initial treatment at Langstuhl Germany and then Walter Reed Army Hospital, Ben entered the Richmond Veteran's Affairs Polytrauma Rehabilitation Center to begin the recovery process.

After significant therapy and treatment, including learning to walk again, Ben returned to an active-duty Marine Corps unit.

Throughout his treatment and recovery, Ben found strength in many sources: his wife, his children, his parents, his military training, and his belief in himself. "I gradually got stronger. I was able to stand up. I was able to walk. I was able to hug my wife. I was able to hold my kids. No matter how tough it is, it gets better. That's the toughest thing to deal with because it takes time and it takes patience."

Watch the full video, From Surviving to Thriving and follow commentary on the PSC Bulletin from patients, doctors, caregivers, and technicians on issues and stories surrounding polytrauma and TBI.

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