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Doody's Review ServiceReviewer: Jeffrey S. Rosenthal, MD (Bridgeport Hospital)
Description: This handy portable guidebook distills a large volume of information on frequently encountered soft tissue and bone injuries of the hand and face, as well as postoperative complications of cosmetic surgery, into algorithmically usable treatment protocols.
Purpose: The authors' objective was to update and condense crucial plastic surgery information necessary for the rapid triage and treatment of patients in an emergency room setting in order to prevent therapeutic delay.
Audience: The physicians who wrote this book got their first hand experience from working in the emergency room at a busy university hospital. They intend this guide as a quick tutorial for those who take care of emergency room patients requiring plastic surgical intervention, whether they are students, residents, or established surgeons.
Features: The 21 chapters use an easy to read outline format to cover basic wound care; various bites of human, animal and rodent; burn and frostbite injuries; trauma to the soft tissues and skeletal structures of the face and sinuses; hand, wrist, and arm impairments; and postoperative evaluation of both free flap reconstruction and esthetic surgical procedures that have gone awry. Diagrams, charts of often used medications, and photographs of hand and arm injuries appear throughout the 300 pages. This guide serves up tried and true remedies for routine situations and is especially helpful for those seeking a quick memory refresher, but its format is insufficient to completely inform physicians whose patients are in need of definitive surgical treatment measures. Thus, this abbreviated format will not suffice for those physicians who encounter the more esoteric and extensive problems.
Assessment: Emergency care requires a rapid evaluation and a measured response commensurate with the extent of injury. The principles and techniques outlined in this book contain useful information that the treating physician may use to embark upon patient care, but the content is limited.