Sanid. mil. 2016; 72 (2) 83 Sanidad Militar Revista de Sanidad de las Fuerzas Armadas de España Sanid. Mil. Volumen 72, número 1. ISSN: 1887-8571 Abril-junio 2016 CONTENTS EDITORIAL 85 Safety of the Clinical trials with drugs García Luque A., Puerro Vicente M. ORIGINAL ARTICLE 87 Overview of the tourniquets used by the Army Gonzalez-Alonso V., Orbañanos-Peiro L., Gómez-Crespo JM., Hossain-López S., Pérez-Escobar JJ., Usero-Pérez C. SUMMARY: Introduction: Among the leading preventable causes of death in the battlefield is the hemorrhaging of extremities, hence the importance of the tourniquet, a therapeutic tool utilized in this environment. Aims: The overall objective is to evaluate the efficacy of the tourniquet used by the Army. The specific objectives are to know the influence of different variables on the effectiveness of the tourniquet chosen. Materials and Methods: Analytical, prospective and cross-sectional study, conducted at the Military School of Health in 2014. The sample is 85 student volunteers. The procedure is performed using a Doppler and a pulse oximeter which register the presence of signal of artery pulse in the upper and lower extremities during application of the tourniquet. Results: The percentage of a lack of pulse is 81% and 50% in the upper limb and the lower limb respectly. Conclusion: The Army tourniquet is an option and has a high level of functionality. KEYWORDS: Control bleeding, Combat, Tourniquet. 95 Assessment of the welfare of foals belonging to the Centro Militar de Cría Caballar (Military Centre for Horse Breeding) of Écija (Sevilla) Sanmartín Sánchez L., Perea Muñoz JM., Blanco Penedo I., Vega Pla JL. SUMMARY: Introduction: Animal welfare arises from the knowledge of animals as beings that experience pain, suffering or stress. The welfare assessment in foals includes behaviour, health and individual response to management. Evaluation should check for signs that may lead to stress situations. Objectives: Proposal a methodological basis for evaluating the welfare of future breeding horses and the welfare assessment of management system. Material and methods: Development of a protocol adapted to foals by weighting 45 indicators and welfare assessment of 104 foals breed in freedom (69 males and 35 females). Results: The implementation of the protocol resulted in the detection of significant deviation in the welfare of animals. Housing indicators revealed areas with wet condition and a risk of injury. Abnormal behaviours were not observed in the foal population. Health indicators revealed incidence of back pain (23.61%), nasal (76.47%) and ocular (16.35%) discharge, and a low level of alterations in the tegument (8.65%) consequence of itchiness or rubbing. A higher incidence of body lesions in the limbs was observed (90.38%). Conclusion: The protocol for welfare assessment developed in the present study provided first insights and detection of suboptimal health status and behaviour of the future breeding population. KEYWORDS: Welfare, Equine, Foals, Young Horses, Weaning. BRIEF COMMUNICATION 102 Abdominal wall tumor Molero Silvero, E., Bartolomé Cela, E., Morales Frías, R., García de la Llana MA. The rectus sheath haematoma is a rare complication secondary to taking anticoagulant therapy and due to muscle injury or breakage of the epigastric arteries or their branches may be associated with several factors. The “gold standard” for the diagnosis is the computed tomography. Surgery is reserved for cases unresolved with conservative management or with embolization treatment. Here is a case of a patient after plastic surgery. KEYWORDS: Rectus sheath haematoma, Acenocumarol, Epigastric arteries. 105 Gun shot wound in naval environment. Damage control abdominal surgery Tamburri Bariain R., Bodega Quiroga I., Navarro Suay R., García Cañas R., Aedo Martín D., Plaza Torres J. Case study of abdominal gunshot wound treated through damage control surgery by the Military Health Corps posted in the Army oil tanker ‘Marqués de la Ensenada’. Evacuated later by a second French chirurgical echelon with application of surgical procedure of damage control. The interest of this brief paper focuses on the analysis of a traumatic gunshot wound management which is considered to be of interest as it deals with issues such as long evacuation time, the involvement of two medical echelons from different countries and the involvement of the Navy. KEYWORDS: Pirates, gunshot, Somalia, damage control surgery, Role 2. TECHNICAL NOTE 110 Positive assessment of drugs: December 2015, January and February 2016 Canencia Maldonado F., González Salado H., Aparicio Hernández R., García Luque A. SUMMARY: The drugs assessed by the Spanish Agency for Medicines and Health Products or European Medicines Agency made public in December of 2015, January and February of 2016, and considered of interest to the healthcare professional, are reviewed. These are positive technical reports prior to the authorization and placing on the market of the product. KEYWORDS: Albutrepenonacog Alfa, Idelvion® , Dexametasona, Neofordex®, Eftrenonacog Alfa, Alprolix®, Elotuzumab, Empliciti®, Emtricitabina/Tenofovir alafenamida, Descovy®, Factor de coagulación X humano, Coagadex®, Ixekizumab,
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