In 1992, the Army began measuring blast overpressure on weapons systems during the Health Hazard Assessments in the acquisition process, with a focus on lung and auditory injury. In 2007, the Army began conducting cognitive monitoring assessments during pre-deployment and after a potential brain injury. Army Medicine is now expanding how it addresses blast overpressure in light of scientific advances and increased understanding of the potential risks. The talk focuses on changes in the health hazard assessment program and cognitive baseline testing for at-risk personnel, the development and integration of blast overpressure sensors, exposure tracking, and increased training. Additionally, it highlights efforts to unify and analyze cognitive monitoring assessment data with exposure data to improve understanding of risk and inform standard practices. Finally, it will emphasize the need for synchronization and prioritization of blast and brain injury medical research goals across the entire scientific and medical research community.