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Aunque pueda contener afirmaciones, datos o apuntes procedentes de instituciones o profesionales sanitarios, la información contenida en el blog EMS Solutions International está editada y elaborada por profesionales de la salud. Recomendamos al lector que cualquier duda relacionada con la salud sea consultada con un profesional del ámbito sanitario. by Dr. Ramon REYES, MD

Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.

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sábado, 30 de noviembre de 2024

The Jaeger Corps (JGK). Elite Danish special operations force.

 


The Jaeger Corps (JGK), also known as the Huntsmen Corps, is an elite Danish special operations force. It is part of Special Operations Command, formerly of the Royal Danish Army, and is based at Aalborg Air Base.

Jaeger Corps’ training is similar to the British SAS and the U.S. 75th Ranger Regiment. Their mission set includes unconventional warfare, special reconnaissance, direct action, and counterterrorism.

History of the Jaeger Corps

The Jaeger Corps trace their origins to 1785. When Denmark was threatened by Sweden, Prussia, and Great Britain it formed a light infantry unit comprised of hunters and woodsmen. The unit would be called the Jaeger Corps of Zealand. It existed in several different forms until the Cold War. 




During the 1960s, the Cold War was at its height. It was decided that Denmark should create a special forces unit in order to gather information during a so-called “Grey Period” – a prewar phase between the Warzaw Pact countries and NATO. Thus the Jaeger Corps was established on November 1, 1961, as a long-range reconnaissance patrol unit (LRRP). During the years following the Cold War (1992-95) the Jaeger Corps was transformed into a SOF unit.

The Jaeger Corps has participated in special operations on the Balkans (1993-2007), Iraq (2003-08), Afghanistan (2001-present), and Africa. As a part of Task Force K-Bar, the unit was awarded The Presidential Unit citation on December 7th, 2004, for its effort in Afghanistan.


During the war in Afghanistan, the Western coalition deployed a special-operations task group as a combined Danish/ Romanian/Hungarian/U.S. task force assigned to ISAF SOF.

The unit suffered its first and only fatality in Afghanistan in 2013 when Sergeant Major Rene Brink Jakobsen was fatally injured by a roadside IED.

The number of operators in the unit is confidential but is reportedly quite small. This makes the selection process much more difficult due to the unit not needing a large number of replacement operators. 



The emblem and cap badge for the Danish Jaeger Corps.

Jaeger Corps Selection and Assessment, Qualification Course


Selection for the Jaeger Corps takes place once a year and takes about 18 months in total to complete. The attrition rate is around 90 percent. The Selection and Assessment and Qualification Course is broken down into different phases.


Basic Selection Test

 (Two days) 

Prior to attending training candidates have to pass written tests (personal essays, English, mathematics); interview with a psychologist; pass basic PT tests (Cooper test, “yo-yo” test, core test), and undergo a medical examination.



Pre-course 1 (Five days) 

The first pre-course introduces the candidates to the subjects covered in the patrol course. It identifies the areas in which the individual candidates must improve (land navigation, swimming, etc.).

The admission requirements for the preliminary course are:

Physical test: The same as the Basic Selection PT component.

March test: 30km with 20 kg backpack under six hours. 

Swimming test: 1,000m breaststroke in max. 25 min.

Underwater swimming: 25 m from the water

Pre-course 2 (Two days)

More training and evaluation in the above-covered subjects.

Pre-course 3 (Two days)

The standards and requirements for the same core training subjects are increased.

Patrol Course (Eight weeks)

This is the phase of the training where most of the attrition (about 60 percent) happens. The physical and mental toughness of the candidates is tested. Candidates must pass a series of events consisting of direct action and special reconnaissance missions that are used to assess their relevant skills in the areas below:

-Shooting

-Helicopter insertion/extraction

-Maritime insertion/extraction (RIB, rubber dinghy)

-Orienteering (technique, theory, orienteering race/march, day/night)

-Long-distance march

-Coldwater habituation (7-10° C (44,5 F°))/combat swimming

-PT – running, core

-Demolition

-Medical skills

-Survival

-Self-confidence tests

-Patrol exercises


Much like Special Forces Assessment and Selection (SFAS), candidates don’t know how long the runs/land navigation courses are. They are just told to conduct them as fast as they can. 

Candidates completing this phase of the training will be rated either “satisfactory” or “very satisfactory.” The candidate must obtain a rate of “very satisfactory” in order to continue on Jaeger Corps’ Selection Course.

Selection Course (Eight weeks)

Candidates receive training in advanced breaching, close-quarters battle, demolition, and sniping. During this phase, candidates undergo a structured physical program designed to increase their capabilities toward the achievement of strict physical standards. 

Marches and runs of increased distances are highlighted. During the Patrol and Selection Course, the candidate will march or run an average of 2,000 kilometers (1,250 miles). The final march test consists of a 60km (37,3 miles) march while carrying a minimum of 40 kilos (88 lbs) of equipment with a maximum time allowance of 12 hrs in terrain. 

In addition, candidates must complete 2 x 50 km marches with 40 kilos of equipment in a maximum of 48 hrs over varied terrain. The candidates swim on average 45km (28 miles) in a pool and/or in seawater during these phases of training. 

The candidates who pass are awarded their first badge in their training; this is the coveted cap badge “bugle” for the beret.

Basic parachuting course (Two weeks) 

Candidates who make it through the Selection Course undergo two weeks of static-line parachuting training.

Combat Swimming Course (Three weeks)

The course is taught by the Danish Frogmen Corps.

The Selection Course is completed with a self-confidence test (rope-drop from 18 meters/22 yards) whereafter the candidates are awarded the insignia of the Jaeger Corps.

Successful candidates receive the coveted maroon beret that indicates completion of training and designation as a Jaeger.



The Jaeger Corps’ Probationary Year

After the completion of the Jaeger Corps training pipeline program, the operators must serve a probationary period of one year before becoming fully certified members of the unit. During this time, the training for the new members intensifies. They will attend high-altitude, high-opening/high-altitude, low-opening parachute training, environmental training (desert, winter), advanced infiltration training (mountain, nontactical vehicle, ski, rotary-wing). They will attain joint-terminal-attack controller certification in addition to advanced CQB training, and specialist training (demolition/breaching, medic, comms, intel, sniper). Additionally, they are taught an advanced hand-to-hand combat system called MTM (man-to-man) combat. 

Jaeger Corps Weapons

Some of the most common weapons that Jaeger Corps operators use are:

Glock 26 9mm Pistol

USP Heckler & Koch Pistol 9mm

SIG Sauer P210 Pistol 9mm

Tactical 5.0 Pistol 9mm, .38 Super, .40 S&W, .45 ACP STI Tactical

MP5 Submachine gun 9mm Heckler & Koch

G53 Carbine 5.56mm Heckler & Koch

C8 CQB Rifle 5.56mm Diemaco

C8 SFW Rifle 5.56mm Diemaco

LSW M/04 Light Support Weapon 5.56mm Diemaco

23 E Machinegun 5.56mm Heckler & Koch

MG3 Machinegun 7.62mm Rheinmetall

21 E Machinegun 7.62mm Heckler & Koch

MSG-90 Sniper Rifle 7.62mm Heckler & Koch

The Jaeger Corps regularly trains with similar units from different countries, such as the U.S Army Green Berets, U.S. Navy SEALs, U.S. Army Delta Force, British SAS, and the Danish Frogman Corps the country’s naval special forces group,

Several years ago, Jaeger Corps member Thomas Rathsack published a memoir of his deployment to Afghanistan Jaeger: At War with Denmark’s Elite Special Forces. It is a must-read for anyone who wants to learn about our allied Special Operations Forces who have more than earned their reputation. 

The Danish military produced an outstanding video some years ago about a group of Jaeger Corps candidates going through the course. Of the 100 applicants, seven made it through the course. The video with English subtitles can be watched below. 


Many of the Danish instructors wear the Master Parachute Badge of the U.S. and the instructor who gives the briefing for the candidates also sports a Ranger tab. 

¿CUÁNDO ME TOMO EL ANTIBIÓTICO?, ¿ANTES O DESPUÉS DE COMER?» by beatriztufarmaceutica.com

 

¿CUÁNDO ME TOMO EL ANTIBIÓTICO?, ¿ANTES O DESPUÉS DE COMER?

«Y EL ANTIBIÓTICO… ¿CUÁNDO ME LO TOMO?, ¿ANTES O DESPUÉS DE COMER?»

domingo, 11 marzo, 2018


Cuando ya tenéis instaurado un tratamiento farmacológico desde hace tiempo, no soléis preguntarnos sobre él, y os «consideráis expertos» ;), en dicho medicamento sólo por el hecho de estar tomándolo ya muchos años y considerarlo como uno más de la «familia» ;). Pero, en ocasiones, en alguna que otra conversación de esas que mantenemos con vosotros en el mostrador y donde nos contáis y os contamos muchas muchas cosas (no sólo de materia sanitaria) ;), descubrimos que ese medicamento en cuestión no os puede hacer su efecto en «condiciones» porque no lo tomáis de la forma adecuada. Algo que no suele ocurrir con los tratamientos agudos, donde el médico os prescribe un tratamiento antibiótico o antiinflamatorio o para un episodio agudo de cualquier afección,….Aquí, si que os asaltan más las dudas y vuestra pregunta mientras tomáis la caja entre vuestras manos y la miráis por ambos lados e inclusive sacáis el blíster de la caja para ver como son las «pastillas», es: «Nena, y esto que me han mandado ahora, ¿cómo tengo que tomármelo?» ;). Y es que…., aunque el médico en la mayoría de los casos os lo explica y por supuesto os deja la forma de administración por escrito, os resulta mucho mejor que nosotros os contemos la forma de tomarlo para conseguir que la efectividad del fármaco sea la máxima posible ;).



Y tengo que deciros, y animaros a que lo sigáis haciendo, porque para eso estamos en las Farmacias, para esto estamos los farmacéuticos y personal de la Farmacia (auxiliares y técnicos), para que nos consultéis todas las dudas que tengáis acerca del correcto uso de los medicamentos y no os vayáis a casa con ninguna duda sobre vuestro tratamiento.

Aún así, ya sabéis que somos muy pesados ;), y desde la Farmacia, si vemos que no os animáis a preguntarnos ;), nosotros mismos, (y aunque a veces no os apetezca mucho escucharnos), os solemos contar de forma breve las premisas que debéis tener en cuenta con la toma de ciertos fármacos ;).

Por eso hoy, y porque en un Blog donde hablamos de Farmacia, fármacos, salud, nutrición y bienestar, no puede faltar un post entretenido y ameno ;), sobre las interacciones más frecuentes de los alimentos y los medicamentos. Pero tranquil@s, que prometo no aburriros ;), y tan sólo veremos algunos de ellos. Porque más que con la comida o sin la comida, la importancia radica con quién ;).

La finalidad del post es conseguir que se haga un uso correcto de los medicamentos y alimentos de los que vamos a hablar de forma simultánea para que ambos puedan seguir ejerciendo sus funciones en nuestro organismo sin que uno u otro se vean modificados.

¿Cuándo es relevante una interacción?

Una interacción se considera clínicamente relevante cuando la actividad terapéutica y/o toxicidad de un fármaco se modifica de tal manera que necesitamos un reajuste en la posología del medicamento u otra intervención médica al provocar re­acciones adversas o una falta de eficacia importante.



Entre las interacciones más relevantes están:

 Leche y derivados lácteos: Debéis saber que la tetraciclina y la oxitetraciclina interaccionan de forma muy relevante con la leche y derivados lácteos, hasta tal punto que éstos pueden llegar a disminuir hasta un 50-60% la concentración sérica de la tetraciclina y oxitetraciclina. En cambio, aquí la doxiciclina (Doxiclat..) no se ve afectada por dicha interacción.

– Alimentos enriquecidos con calcio, hierro, y otros minerales: Hoy en día en el mercado hay muchos alimentos enriquecidos que si bien es cierto, ingeridos en nuestra dieta pueden llegar a ayudarnos, cuando se trata de la toma de ciertos antibióticos como el ciprofloxacino o norfloxacino, la cosa se pone seria, y debemos evitar el consumo conjunto de dichos alimentos durante el tratamiento con estos antibióticos. Un ejemplo claro, es la ingesta conjunta de zumo de naranja enriquecido con calcio, el cual, disminuye la absorción tanto del ciprofloxacino como del norfloxacino. (antibióticos ampliamente utilizados para diferentes tipos de afecciones entre las que destacan las infecciones urinarias).



– Cuando se producen modificaciones en el pH gastrointestinal causados por ciertos alimentos. Fármacos como la eritromicina o la Penicilina G, pueden sufrir una degradación a su paso por el estómago.

– Siempre os lo decimos, cuando os lleváis una caja de vuestro hierro: «Debe tomarlo con zumo de naranja para mejorar la absorción del hierro» ;), y esto es debido a que el hierro se absorbe en estado de oxidación II, un estado que se consigue cuando el ácido ascórbico (la famosa vitamina C) puede facilitar por su papel reductor, esa transformación del hierro 3+ a hierro 2+, favoreciendo así la absorción del mismo.

– La sal: la ingesta de sal, que ya sabemos que debe estar disminuida en todos los que seáis hipertensos (no por un probema de interacción), también debéis conocer, que todos aquellos que estéis con un tratamiento farmacológico con sales de litio, debéis evitar la ingesta de alimentos que contengan abundante sal, porque el Na (sodio) facilita la eliminación urinaria de las sales de litio.

 Amitriptilina y consumo excesivo de proteínas: Todos los que estéis en tratamiento con amitriptilina (Tryptizol) debéis saber y tener en cuenta que si consumís en exceso en vuestra dieta mucha proteína, ésto trae consigo que vuestra orina sea más ácida y por lo tanto aumenta la velocidad de excreción del fármaco amitriptilina.

Vitamina K y anticoagulantes cumarínicos (acenocumarol, warfarina): La vitamina k puede provocar una disminución en los efectos terapéuticos del sintrom y el aldocumar.



– Regaliz y fármacos antihipertensivos (espironolactona) y digitálicos: Para los que os encante el regaliz y las míticas juanolas, debéis saber que si estáis en tratamiento con ciertos fármacos antihipertensivos o para el corazón, el regaliz, por su composición en ácido glicirretínico inractúa con éstos.

Vitamina E y anticoagulantes: Ojo aquí y mucho respeto y cuidado, porque dosis elevadas de vitamina E y ácidos grasos omega-3 contenidos en aceites de pescados pueden potenciar los efectos de los anticoagulantes, con un mayor riesgo de sangrado. Por lo que el pescado sí, pero sin excederse, y por supuesto, en estos casos, si queréis ingerir algún tipo de suplemento siempre consultándonos antes de hacerlo.

 Zumo de pomelo: éste, aquí donde lo véis es uno de los más «peligrosos» ;), porque pos su mecanismo de acción al inhibir la actividad metabólica del isoenzima 3A4 del citocromo P450 en la pared de nuestro intestino y al activar la glicoproteína P da lugar a un aumento considerable de hasta cinco veces en al absorción oral de determinados fármacos; especialmente en ancianos y personas que tengáis insuficiencia hepática y estéis en tratamiento con fármacos de índice terapéutico estrecho.

– Potasio y diuréticos ahorrador de potasio: Pueden provocar una hiperpotasemia, viéndose aumentado el riesgo de sufrir arrítmias cardíacas.

Y así podríamos seguir, en un largo etcétera de alimentos y medicamentos………Ya sé que no están todos los que son;). Pero ya sabéis que en diferentes posts hemos ido hablando de algunos medicamentos y siempre os he procurado dejar muy claro y os he insistido en aquellos en los que la toma conjunta con alimentos se hace casi casi «obligatorio» (el caso de los AINEs), mientras que en otros es justo lo contrario, es mejor dejar un tiempo entre la toma de ciertos medicamentos y éstos.

Y os preguntaréis, ¿esto quiere decir que si estoy en algún tratamiento con algunos de los fármacos citados, no puedo comer estos alimentos?

No, esto quiere decir, que debéis extremar las precauciones y siempre dejar transcurrir un tiempo entre la toma de ambos o reducir su consumo.

Y sin más, como siempre, recordaros, que debemos hacer un uso responsable de los medicamentos, lo que pasa por tener cierto conocimiento sobre ellos o por consultar a vuestro farmacéutico/a de confianza ;).

Feliz día!

Beatriz


Dr Ramon REYES, MD,
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All-Terrain Vehicle (ATV) is NOT a Toy

All-Terrain Vehicle (ATV) is NOT a Toy
 An ATV is NOT a Toy
An All-Terrain Vehicle (ATV) is a powerful, motorized vehicle. It can weigh up to 600 lbs
and reach speeds of more than 60 mph. Even the best drivers often lose control of their
ATV. A collision or a vehicle rollover can happen quickly. Before allowing any young person
on an ATV, think twice…because you only live once.

Who is at risk?
The highest risk age group by far is males under the age of 16. Often these youngsters
are riding without protective equipment and with more than one person on the ATV. Risktaking
and goofing around while riding is common. Young people represent nearly 40% of all ATV-related
 injuries and deaths. 

What can happen?
The most common injuries associated with ATV crashes are to the head, face and spine – skull fractures, facial fractures, brain injuries, coma, paralysis and spinal cord injuries. Some kids have short-term disability,
some have a lifetime of disability, and some kids die. 

Why are young people injured so often?
• No helmet use
• Carrying one or more passengers
• Lack of mature judgement
• Lack of adequate strength and coordination
• ATV too big for their size/age

 Safety Tips for All ATV Riders
1. Do not carry passengers. ATVs are designed
for one person.
2. Wear a helmet with eye protection.
3. Wear non-skid, closed toe shoes.
4. Wear long pants and a long-sleeve shirt.
5. Do not ride on public roads or at night.
6. Never use a 3-wheeler. They are unsafe and
no longer manufactured.
7. Attend an ATV driver’s safety course.

 Accidents do happen
• More than 50 children are admitted to Arkansas Children’s Hospital each year with
ATV-related injuries. Most are under 16 years of age. Some are only infants or toddlers,
badly hurt or killed when riding as passengers.

 What do doctors think about ATVs?
The American Academy of Pediatrics and The American College of Surgeons recommend
that children under 16 years of age not ride ATVs due to the high risk of serious injuries.

“ATVs are not toys. Accidents are common and sometimes deadly. I know... I’ve had to
tell the parents.”

– Tim Burson, MD,
Neurosurgeon at Arkansas Children’s Hospital


 Injuries, Manufacturer Warnings Do Not Deter ATV Use by Children under Age 16

10/22/2012

For Release:  October 22, 2012
NEW ORLEANS – All-terrain vehicle (ATV) manufacturer warning labels aimed at children under age 16 are largely ineffective, and formal dealer-sponsored training is infrequently offered and deemed unnecessary by most young ATV users, according to new research presented at the Oct. 22 at the American Academy of Pediatrics (AAP) National Conference and Exhibition in New Orleans. The study of ATV crashes involving children also found less than 35 percent of children were wearing a helmet when injured in an ATV crash, and nearly 60 percent were riding again within six months.
Children under age 16 suffer nearly 40 percent of all ATV-related injuries and fatalities in the U.S. each year, despite warnings from the AAP and the Consumer Product Safety Commission against child ATV use. In the study, “Pediatric ATV Injuries and Manufacturer Warnings are Not Enough to Change Behavior,” researchers surveyed children who were hospitalized at a Level I trauma center following an ATV crash between 2004 and 2009. Families were questioned about their child’s injuries, the cause of the crash, ATV features, risk-taking behaviors and safety practices. A follow-up phone survey was given 6 months later.
Parents of 44 children completed the initial survey and 44 completed both surveys. Primary injuries included head/neck (34.7 percent), chest (10.2 percent) abdomen (10.2 percent), fractures (30.6 percent) and soft tissue injuries (14.3 percent). The injuries resulted from collisions (36 percent), rollovers (32 percent) and falls from the ATV (23 percent).
In most cases (82 percent), the children were driving the ATV when the crash occurred, and 61 percent of the respondents acknowledged the presence of a warning label on their ATV, warning against use of the ATV by children less than 16 years of age and against carrying passengers. Most children had permission to ride the ATV (79.5 percent) and were under adult supervision when they were hurt (63.6 percent). No respondents underwent formal course training for safe ATV operation, although 47 percent reportedly received training from a friend or relative. Only seven were offered informal training by the ATV dealer, of which two participated.
While respondents reported frequent use of safety equipment (77.6 percent) and wearing a helmet (65.9 percent) “frequently/sometimes” prior to the crash, only 36.7 percent were actually helmeted at the time of the crash. Post-injury, 59 percent of the respondents continued to ride, and there was no significant change in risk-taking behaviors including wearing helmets or safety gear, riding on paved roads, performing difficult maneuvers, and children continued to carry or ride as passengers on ATVs despite warning labels against this activity.
“Although ATVs have surged in popularity over the past several years, they pose significant dangers for children 16 and under who simply do not have the physical strength, cognitive skills, maturity or judgment to safely operate ATVs,” said study author Rebeccah L. Brown, MD, Cincinnati Children’s Hospital Medical Center.“These are hefty motorized vehicles that weigh up to 600 pounds and are capable of reaching speeds of up to 85 miles per hour.
“ATV manufacturer warning labels are largely ineffective, and ATV training is infrequently offered to ATV users, most of whom deem it unnecessary," said Dr. Brown. “Mandatory safety courses and licensing, and enforceable helmet legislation, are needed to reduce ATV use by children.


###

The American Academy of Pediatrics is an organization of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit www.aap.org


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