El entorno virtual de aprendizaje en la Enseñanza de Sanidad Militar / The virtual environment learning in the teaching process of Military Sanitary Corps

No disponible

La Escuela Militar de Sanidad de la Academia Central de la Defensa como centro docente en la formación del oficial de Sanidad Militar y su capacidad de liderazgo / Training of Military medical officers for military operations in the Military Medical School-Central Academy of Defense. Spain

No disponible

Gunshot and improvised explosive casualties: a report from the Spanish Role 2 medical facility in Herat, Afghanistan.

OBJECTIVE: To provide an analysis of casualties treated during medical evacuation (MEDEVAC) or/and at the Spanish Role 2 in Herat, Afghanistan, including type of weapon, injuries, and effects of protective measures. METHOD: A retrospective analysis was carried out concerning patients who had suffered injuries from either gunshot or explosive devices treated during MEDEVAC or/and at this facility during the period 2005-2008. RESULTS: The total number of cases analyzed was 256. The majority of the casualties were produced by explosive devices (71%). The anatomical regions most affected were the lower limbs (48%). There was a higher New Injury Severity Score in casualties wounded by gunshot (14 +/- 1) than in those wounded by explosive devices (8.5 +/- 1.5) (p < 0.001). Surgical procedures for injuries caused by gunshots were 1.7 times more likely than for those due to explosive devices (95% confidence interval: 1.4 to 2.1). Protective devices were used only by 25% of casualties. CONCLUSIONS: The injury score indices of firearm casualties were higher than the explosive device casualties' injury score indices. The possible reasons for this finding are discussed.