- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This two volume textbook focuses on the field, emergency department and critical care management of the injured patient.
Purpose: While designed to describe the spectrum of trauma management from prehospital to critical care and rehabilitation, the obvious strength and emphasis is resuscitation, emergency management, and critical care.
Audience: Senior trainees in surgery, internal medicine, emergency medicine, and anesthesiology along with teachers and practitioners are an appropriate audience for this work originating from a multidisciplinary, multinational group of authors. Editorial leadership comes from the University of California schools at Irvine and San Diego and membership of the International Trauma Care Organization.
Features: Prehospital care, emergency department management, and operative strategies are discussed in Volume 1. The second, larger volume reviews pertinent critical care physiology and presents organ system support of trauma and other surgical problems. Initial management topics receiving particular emphasis are fluid administration, vascular access, airway management, monitoring, and initial stabilization of organ system injury. Recent military experience and developments related to chemical, biological, and radiological warfare agents are reviewed along with more traditional hypothermia and heat related injuries. Critical care presentations in Volume 2 begin with reviews of physiology followed by a summary of clinical pharmacology. The largest group of chapters describes organ system support in the critical care unit including multiple organ dysfunction. Concluding chapters review ethical considerations, palliative care, and economic concerns. Chapters are well written with "key points" scattered throughout the text. Each chapter reviews contributions including websites, secondary references, and primary literature. Many citations date to at least five years prior to publication. Tables, line drawings and black-and-white photographs are frequently used. Photographs and reproduction of radiographs reproduce with inconsistent quality. An extensive listing of subheads with chapters in the table of contents allows ready access to specific portions of chapter content. A detailed subject index of over 30 pages concludes this book of over 1,300 pages.
Assessment: This book complements but does not replace Trauma, 5th edition, Moore et al. (McGraw Hill, 2004), long the standard in the field. This latest offering clearly can be recommended for detailed and effective discussion of resuscitation and perioperative management of the critically ill surgical patient. Physiologic reviews are effectively presented. There is duplication among presentations in the two volumes and the experience of operating surgeons receives limited emphasis. Clearly, this is an important, but not a standalone resource for the acute care provider managing multisystem trauma.