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- Ricardo Navarro Suay, Alberto Hernández Abadía de Barbará, Carlos Gutierrez Ortega, Enrique Bartolomé Cela, David M Lam, and Fernando Gilsanz Rodríguez.
- Grupo de Escuelas de la Defensa, Escuela Militar de Sanidad, Camino de los Ingenieros n 6, CP: 28071 Madrid, Spain.
- Mil Med. 2012 Mar 1;177(3):326-32.
ObjectiveTo 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.MethodA 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.ResultsThe 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.ConclusionsThe injury score indices of firearm casualties were higher than the explosive device casualties' injury score indices. The possible reasons for this finding are discussed.
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