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Early management of acute trauma
JOURNAL
OF
SURGICAL
RESEARCH
VOL.
7
NO.
EARLY MANAGEMENT OF ACUTE TRAUMA Edited by Alan M. Nahum, M.D. The C. V. Mosby Co., St. Louis, 1966 336 pages, illus., $21.00
Reuieuxd by
LAZAR
J.
GREENFIELD,
M.D.
THIS book, as stated in its preface, is an outgrowth of a symposium entitled “Early Management of Acute Trauma,” conducted in 1965 at the University of California, Los Angeles, Center for the Health Sciences. The contributors are all faculty members of the University of California with the exception of Dr. Edwin F. Cave from Harvard Medical School. The book is relatively short, considering the wide range of topics covered, but achieves a brief, practical review of the current concepts of early management in each of the topics presented. The first five chapters provide a succinct analysis of the physiological derangements, and the method of approach to the traumatized patient in terms of triage, shock, psychiatric management and antibiotic therapy. However, the discussion of the use of dextran as a plasma substitute is quite brief. In view of its widespread usage, dextran deserves amplification, along with mention of other
146
3,
MARCH
1967
types of plasma substitutes such as starch. Subsequent chapters deal with specific injuries and methods of diagnosis and therapy. All the chapters are well illustrated and emphasize the practical application of resuscitation techniques and methods of repair. There is excellent emphasis on trauma pathophysiology and correlation of the mechanism of injury with the physical signs and symptoms presented by the patient. The emphasis is primarily on the initial phases of treatment, but there are good descriptions of operative techniques where needed. Of particular note are the chapters on the spine and the extremities, and chapters 011 the management of injuries to the ankle, wrist, and hand. A discussion of the diagnosis and treatment of vascular injuries, and particularly great vessel injuries within the chest, is the only significant omission. With recent emphasis on the association between closed chest trauma and rupture of the aorta, the authors’ experience in this field would be of interest. The book provides a ready source of pertinent information presented in a concise manner, often with appropriate therapy in outline form, and good references at the end of each chapter. It would be a valuable addition to the reference library of any accident room, and should prove of particular value to students and residents in surgery who are called upon to initiate treatment in the traumatized patient.
OF
SURGICAL
RESEARCH
VOL.
7
NO.
EARLY MANAGEMENT OF ACUTE TRAUMA Edited by Alan M. Nahum, M.D. The C. V. Mosby Co., St. Louis, 1966 336 pages, illus., $21.00
Reuieuxd by
LAZAR
J.
GREENFIELD,
M.D.
THIS book, as stated in its preface, is an outgrowth of a symposium entitled “Early Management of Acute Trauma,” conducted in 1965 at the University of California, Los Angeles, Center for the Health Sciences. The contributors are all faculty members of the University of California with the exception of Dr. Edwin F. Cave from Harvard Medical School. The book is relatively short, considering the wide range of topics covered, but achieves a brief, practical review of the current concepts of early management in each of the topics presented. The first five chapters provide a succinct analysis of the physiological derangements, and the method of approach to the traumatized patient in terms of triage, shock, psychiatric management and antibiotic therapy. However, the discussion of the use of dextran as a plasma substitute is quite brief. In view of its widespread usage, dextran deserves amplification, along with mention of other
146
3,
MARCH
1967
types of plasma substitutes such as starch. Subsequent chapters deal with specific injuries and methods of diagnosis and therapy. All the chapters are well illustrated and emphasize the practical application of resuscitation techniques and methods of repair. There is excellent emphasis on trauma pathophysiology and correlation of the mechanism of injury with the physical signs and symptoms presented by the patient. The emphasis is primarily on the initial phases of treatment, but there are good descriptions of operative techniques where needed. Of particular note are the chapters on the spine and the extremities, and chapters 011 the management of injuries to the ankle, wrist, and hand. A discussion of the diagnosis and treatment of vascular injuries, and particularly great vessel injuries within the chest, is the only significant omission. With recent emphasis on the association between closed chest trauma and rupture of the aorta, the authors’ experience in this field would be of interest. The book provides a ready source of pertinent information presented in a concise manner, often with appropriate therapy in outline form, and good references at the end of each chapter. It would be a valuable addition to the reference library of any accident room, and should prove of particular value to students and residents in surgery who are called upon to initiate treatment in the traumatized patient.