United States Department of Veterans Affairs
VA Polytrauma System of Care

Real Stories - Airman First Class David Rogers

 
David Rogers

David Rogers

Airman First Class, United States Air Force

Recovering from a car accident while serving in Germany

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.

Airman First Class David Rogers
was working on F-16s, C-17s, and A-10s as a crew chief at Spangdahlem Air Base, Germany. One week before a surprise trip home to the States, he lost control of his automobile during a light rain and struck another vehicle. The crash left him with multiple life-threatening injuries, including fractured ribs, a damaged spinal cord, a punctured lung, and a traumatic brain injury.

After more than a year at a Polytrauma Rehabilitation Center, David has returned home to his family. His mother Lauri has no misconceptions of the challenges ahead. "David's accident has definitely colored our life with a different crayon... our life has not gradually changed, it has changed instantaneously and permanently."

As they move forward, they are finding a new normal with David–a life that involves every family member in the accomplishments, struggles, and milestones of his recovery. "I had to refocus my thinking from the tragedy of the accident to looking forward to the landmark joys that I had had once before with him."

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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