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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This book describes the initial management of the injured patient from the perspective of the emergency medicine practitioner.
Purpose: An update is provided for emergency physicians, critical partners in the management of injury.
Audience: Trainees and practitioners in emergency medicine and surgery will benefit from this work. In fact, any discipline treating the injured patient will benefit from the thoughts presented here. Authors and editors represent trauma programs from around the U.S.
Features: Traditional subheadings are included beginning with prehospital management and resuscitation followed by organ-specific considerations. Subsequent sections include discussion of mechanism of injury and administration issues in trauma care with a concluding chapter on procedures in the trauma patient. An appendix describes some of the common scoring systems. Chapters are well written with adequate illustrations and references. Illustrations include reproductions of radiographs, which for the most part are of adequate quality. References date to within one to two years of publication. Frequently, sample cases are presented so that principles can be demonstrated. The table of contents is a good description of the book's content, dividing chapters into major groups and providing authorship. A detailed index ends the book.
Assessment: This is a worthy addition for the bookshelf of the practitioner caring for the injured patient. Emphasis on the aspects of injury not immediately addressed by the general surgeon is helpful. This book also brings the varied disciplines providing trauma care up to date on the many contributions of emergency medicine investigators to our understanding of the initial care of the injured patient and resuscitation issues. Some of the discussion on procedures, however, could be improved with surgical input.