More than 50 experts agreed on first-ever consensus guidelines for recognizing, diagnosing and managing traumatic brain injury in law enforcement, corrections, firefighters and EMTs. The recommendations aim to standardize field and first-responder approaches to TBI detection and management, closing a training and protocol gap for non-hospital teams. The document’s central contribution is operational: it translates expert evaluation practices into a common set of steps that agencies can adopt, rather than leaving TBI workflows to individual departments. For public safety stakeholders and medical directors, the guidelines represent a move toward earlier identification of brain injury—especially relevant given the volume of head impacts in policing and emergency response settings. Industry relevance is indirect but meaningful: as TBI recognition becomes more standardized, device and digital health developers may find more consistent pathways for screening and referral into clinical care.