Description: This multiauthored clinical review, part of the highly successful Current Therapy series, is the successor to Current Therapy of Trauma, last published in 1999.
Purpose: Clinical specialists review treatment strategies for the injured and critically ill surgical patient.
Audience: Senior trainees, fellows, and practitioners of any discipline embracing trauma and critical illness will benefit from this work featuring a blend of leaders and senior trainees from trauma and critical care programs in the United States.
Features: The book begins with overviews of trauma systems, prehospital care, resuscitation, and management of injury according to anatomic region and organ system. Special trauma problems including burns, patients at the extremes of age, and pregnancy are also discussed. Two groups of critical care chapters conclude the book. The first discusses cardiopulmonary management and support of the patient with organ failure. The second group reviews special issues including ARDS, sepsis, principles of antibacterial and antifungal therapy, nutrition support, palliative care, management of grief, and rehabilitation. Chapters are concise, frequently 10 pages or less. Pathophysiology and medical history are not provided. Clinical strategies are emphasized based on key papers and available evidence. Chapters include reference lists of various types, length, and format. In some cases, the references date to within three years of publication, but other reference lists are brief and do not reflect recent work. Tables, flow diagrams, and line drawings are well designed and reproduce well. Occasional black-and-white radiographs and photographs of adequate though not outstanding quality are used. The table of contents provides detailed organization of chapters and lists authorship while the highly detailed index includes separate citations for figures and tables.
Assessment: This is a welcome addition to the Current Therapy series. Junior readers will miss out on background information which is not included here, but clinicians will welcome focused, concise presentations. Newly created critical care reviews summarize much of the recent thinking on resuscitation, blood product use, and damage control strategies.