made of a soft, padded and deformable material. The hazards. The main purpose of this study is to assess soft helmet should be removed in favor of the Fairwind the prevalence of paratrooper victims of this kind of helmet, which guarantees better shock protection. injuries after parachuting static-line experiences. We had a descriptive and retrospective multicenter The heavy helmet should only be used in an operational study from self-reported questionnaires given to context. Indeed, the risk of concussion is related to the paratrooper medical units. We included 894 patients acceleration of the cephalic area, which is increased by in this study. the weight of the helmet.Finally, wearing a helmet clearly reduces the severity of brain jues and pene- Twenty-two percent [CI95% : 19.3; 24.7] of replying trating trauma. However, a review of the literature people are suspected of concussion after parachuting concludes that no studies have currently shown a signi- experience. Women appears to be 2.5 more exposed to ficant reduction in the number of concussions, in their the risk than men are [CI 95% 1.3; 5.1]. There are no severity or in the duration of symptoms among athletes significant results about the age, height or seniority in wearing a helmet. It is therefore necessary to continue airborne troop. the research and development of helmets that can both prevent severe brain injury and minimize the risk of Indeed, static-line parachuting isa concussion-risked concussion, with innovative ergonomics and materials41 activity. In order to develop better practices to care for . this complex pathology, a specific formation should be Knowledge of the pathology and the complications offered to the general practitioner supporting paratroo- resulting from non-medical surveillance of the paratroo- pers, and preventive measures alongside educational per must be considered.As proposed by the French therapy should be presented to soldiers. rugby federation, the implementation of a concussion protocol could also be considered. A false response to BIBLIOGRAPHY Maddocks' score or the recognition of a “red flag” would require alerting the military doctor and prohibi- 11.LAFOURCADE P, BRUNEAU O, PHILIPPE A, BARD A. Le ting the return to the activity before a complete medical parachutisme militaire. Science et sport, 2018; 33 (2): 127- opinion. This practice would prevent early recurrence 135. and a second impact syndrome. 12.DEFAYSSE N, BRUNEAU O, BARD A, LAFOURCADE P. Incidences et types de blessures liées à la mise en œuvre Finally, the improvement of the knowledge of the de l’ensemble de parachutage du combattant a l’école des pathology by the military doctor would allow early troupes aéroportées. Médecine et Armées 2019; 47 (2): detection of concussed paratroopers, better manage- 133-142. ment and would reduce the impact of the pathology on personal, professional, and operational scales. The 5th 13.KNACPIK J, STEELMAN R, GRIER T, etal. Military parachu- Berlin Consensus Conference proposes a plan to return ting injuries, associated events, and injury risk factors. to play in progressive stages. It will be relevant in the7 Aviation, space and environmental medecine. 2011 Aug; future to propose a support protocol with a gradual 82 (8): 797-804. return to the military skydiving. 14.BRICKNELL MCM, CRAIG SC. Military parachuting injuries: a literature review. Occup Med. 1999; 49 (1): 17–26. CONCLUSION 15.CRAIG SC, MORGAN J.Parachuting injury surveillance, The static-line parachuting is an activity known as par- Fort Bragg, North Carolina, May 1993 to December 1994. ticularly accidental for the military. Our study is the first Mil Med. mars 1997; 162 (3): 162-4. to focus specifically on the risk of concussion among French military paratroopers. A total of 22% of para- 16.KNAPIK J, STEELMAN R, HOEDEBECKE K, etal. U.S. army troopers surveyed were reported to have already been health command: Comparison of injury incidence bet- victims of a concussion after a drop. These results are ween the T-11 advanced tactical parachute system and the comparable to what is found among athletes in the T-10D parachute, Fort Bragg, North Carolina, June 2010 – November 2013. 2014 Feb. Report number 12-HF-27G0ED- literature. These elements deserve special attention. 14. Beyond the operational impact,the symptoms and potential complications that result from a concussion 17.PATRICIOS JS, ARDERN CL, HISLOP MD, et al. can significantly alter patients' quality of life up to a Implementation of the 2017 Berlin Concussion in Sport life-threatening engagement. Group Consensus Statement incontact and collision sports: a joint position statement from 11 national and international sports organisations. Br J Sports Med. 2018 ABSTRACT May 1; 52 (10): 635–41. Sporting communities, and mostly contact-sports com- 18.KARLIN AM. Concussion in the Pediatric and Adolescent munities, increase their concern about concussion as it can Population: “Different Population, Different Concerns”. cause serious damages, such as second impact syndrome American Academy of Physical Medicine and or chronicity post-traumatic encephalopathy. French army Rehabilitation. 2011 Oct; 3: S369 – 79. is using parachuting static-line in current foreign opera- VOL. tions. As an activity with a major traumatic risk, we 19.DECQ P, GIL C, CAUDRON Y, et al.(page consultée le have been wondering about its related concussion 27/08/2019). La commotion cérébrale en pratique sportive, 94/3 International Review of the Armed Forces Medical Services 25 Revue Internationale des Services de Santé des Forces Armées