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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the third edition of an extensive manual on the physiology and management of the patient injured by blast or projectiles. The previous edition was published in 2005.
Purpose: Recent clinical lessons derived from experience of members in the Royal Centre for Defense Medicine of the United Kingdom are featured along with reflections of other casualty management experts.
Audience: Surgical, emergency medicine, and critical care trainees with an interest in trauma or military service commitment are an appropriate audience for this book written by expert surgeons, intensivists, and anesthesiologists.
Features: Early chapters describe the physiology and physics of firearms and various explosives. At the heart of this book are chapters on resuscitation, emergency department management, analgesia, and clinical care arranged by organ system. Particular emphasis is given to recent developments in the damage control approach to resuscitation and staged surgical repair. Other chapters discuss special patient groups including pregnant patients and children. Nursing, critical care, and rehabilitation considerations conclude the discussion. Chapters contain reference lists with citations from primary sources dating to within two years of publication. Since illustrations are often taken from battlefield hospitals, the quality is inconsistent. Tables and line drawings reproduce well. A detailed table of contents lists authorship and groups the 45 chapters by content while the concluding subject index provides excellent access to topics.
Assessment: This has the external appearance of a textbook, but is better read as an orientation from seasoned military and civilian trauma practitioners. I heartily recommend this tool to those who manage patients with these injuries.