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Intrepid National Armed Forces Rehabilitation Center at the Brooke Army Medical Center, Fort Sam Houston
San Antonio, Texas
Exterior of the Center for the Intrepid Exterior of the Center for the Intrepid

The goal of the Intrepid National Armed Forces Rehabilitation Center was to provide military service members who have experienced debilitating injuries with a rehabilitation facility which permits them to remain on active duty if they desire; returning them to their pre-injury level of activity. This facility harnesses state-of-the-art technology to provide military amputees with improved rehabilitation resources through the use of advanced prosthetics, computerized and video monitoring, biomechanical studies and advanced physical training therapy methods.

The $30,000,000 Center includes diagnostic, treatment, rehabilitation and training functions including physical, occupational, social, mental and nutritional health. Clinical space houses areas for fitting, testing and adjusting advanced prosthetics and provide areas for clinical research. Designed in accordance with MIL-HDBK-1191, the Uniform Federal Accessibility Standards/Americans with Disabilities Act Accessibility Guidelines and Anti-Terrorism/Force Protection Standards, the project provides an energy monitoring and control system (EMCS), and documented Operation and Maintenance procedures.

Clinical and administrative space provides for multi-disciplined research and treatment teams of physicians; orthopedic surgeons, prosthetists, physical therapists, occupational therapists, gait therapists, dieticians, psychologists, social workers, technicians, researchers and administrative support staff.

This 65,000 sf facility features four stories; the first floor has a running gait analysis, dual force plate treadmill, uneven terrain modeler, swimming pool and a child care center. The second floor is dedicated to prosthetic manufacturing. The third floor accommodates physical therapy services, a prosthetic workshop, a gym and a 30-foot climbing and rappelling wall. The fourth floor houses occupational therapy services, a daily life activities lab and a running track.

The center contains training areas that include walking and running lanes, stairs, obstacles and climbing surfaces to improve motor skills and prepare injured veterans for everyday life. It also frees up hospital space now being used for amputee patient care.

Two 21-room houses are built next to the center to house family members of veterans undergoing rehabilitation. Known as Fisher House, this residential facility provides a day care and recreational center for the families in residence. Plans also included a children's support space to help children understand and manage difficulties associated with a parent's condition and treatment.

Heating, Ventilating and Air Conditioning Design: The building heating and cooling for the rehab center is handled by central air handling unit (AHU) provided with heating and cooling water coils. The primary heating source is natural gas, which supplies modular boilers to generate hot water at 160 deg F. Heating hot water is delivered to the AHU heating coil, as well as to hot water reheat coils throughout the floor spaces. The primary cooling source is chilled water generated by an air cooled chiller, which is then delivered to the cooling coil in each AHU. The central air distribution system has been divided among four (4) AHUs to serve 1) the gymnasium, 2) the gait lab and multi-terrain rooms, 3) the departmental offices and treatment rooms and 4) the main lobby. Each AHU delivers heated or cooled air through a ducted medium pressure supply system to all spaces within the AHU dedicated occupancy. Final delivery of conditioned air is through VAV terminal units controlled by zone thermostats.

Rendering of the interior of the Center for the Intrepid
A soldier goes through rehabilitation.

Plumbing Utility Requirements: The plumbing utility systems required for the dental clinic are domestic hot and cold water, sanitary sewer, storm drainage, oral vacuum and dental compressed air.

Power, Lighting and Distribution: The interior electrical power, lighting and distribution system consists of main distribution from the main electrical room to distribution power panels located within electrical closets at each floor. Each of the electrical closets contains a dry-type, K-rated electrostatic shielded 208/120 volt step-down transformer for secondary distribution to power panels for low voltage equipment and receptacles. Receptacle outlets are hospital grade. Isolated ground, NEMA special designation, and GFCI types are provided where indicated on the drawings.

Communications Design: The project furnishes and supplies the space for communication rooms at an area of 110 sf for remote rooms and 150 sf for a central room. The project supplies the infrastructure pathway system and category 6 cabling for all security, voice, data and audio-visual requirements.

Fire Alarm System: An addressable fire alarm system has been provided. The system reports to the base fire alarm system. Devices conform to ADA.

Security System: A card access system and intrusion detection system is provided.

Area of Refuge System: Signage and telecommunications services is provided for designated stations.

Nurse Call System: A nurse call system was provided. Stations are provided at designated patient rooms and toilet rooms. Central location have been identified.

Telecommunications Grounding System: Telecommunications ground bars and grounding system are provided. Grounding are in compliance with ANSI TIA-EIA standards.


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