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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This book describes the mechanisms and pathophysiology of injury.
Purpose: It provides a review of bench work in the area of injury as well as discussion regarding methods for putting scientific results into action — a daunting but worthy task.
Audience: The practitioner and teacher providing care for the injured patient is an appropriate audience. The editors and contributors represent an international group of experts widely regarded for basic science and clinical work in the management of injury.
Features: Two large sections comprise this attractive hardbound book. Part I is devoted to mechanisms of injury, including trauma from projectiles, blunt injury, blast trauma, burns, crush injury, and chemical contact. The second half describes appropriate and inappropriate host response to injury (including mediator systems), as well as more generalized cardiovascular, biochemical, and metabolic changes. Chapters are well written with major points highlighted in tables and black-and-white line drawings. Black-and-white photographs are sometimes used and reproduce well. Chapters contain ample reference lists which provide seminal work. However, in many cases these references date too many years preceding publication. The table of contents describes the subject matter and provides record of authorship. The brief index includes subject headings only.
Assessment: This is a worthy addition to the library of the serious practitioner or scholar in this field. I found the sections on penetrating trauma, including projectile injury and wound mechanics, particularly enlightening. Although chapters on the pathophysiology of injury are well written, the absence of recent work detracts from this effort. The editors allude to a long gestation for this book. Evidence of this is apparent in many of the chapters.