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Decision making in trauma management: A multidisciplinary approach
Inlens,v~CarP.Vur,~n~(~99l)l,187-188 @I Longman Group CK Ltd 1991
BOOK REVIEWS
Infant Feeding: The Physiological Basis By J. Akre (Ed) WHO, Geneva, 1989. 108 pages. Supplement 67, 1989, lof the Bulletin of the World Organization
to Vol. Health
An adequate diet is more important in the first few years of life than at any other time. This review brings together the latest scientific information on physiological development during the prenatal period and the first years of life and their implications for infant feeding. The book has six main chapters. The first is devoted to the prenatal and immediate post-partum period and examines the physiological mechanism that operates in pregnancy and post-partum concerns such as the effects of anaesthetics or drugs and the importance of immediate contact between mother and infant after birth. The second covers human lactation, including the mechanisms by which breast milk confers protection against infection and allergies, and why breast milk is ideally suited to the infant’s developmental needs and metabolic abilities. Health factors which may interfere with breast-feeding, such as congenital and hereditary disorders, maternal illness, including infection with HIV, and drug therapy are considered next. Chapter Four considers complementary feeding in relation to the infant’s development and the short and long-term risks of early introduction. The special nutritional needs of the low birth weight infant arising from rapid growth and developmental immaturity are considered in Chapter Five and those during acute infections in Chapter Six. The report also has three annexes: a check list for evaluating the adequacy of support for breast-feeding m maternity hospitals, wards and clinics; guidelines on studying weaning practises and suggested further reading. ‘This last is supported by a total of over 500 references. The book is written clearly and concisely. It has no index bur the detailed contents page and liberal use of sub-headings mean it is easy to use. It is intended mainly for general practitioners, obstetricians, pediatricians, midwifes, nutritionists, nurses and those in schools of public health. As nurses may at any one time be involved with each of these and as knowledge on nutritional needs and their priority in intensive care is inadequate, an account of the physiological basis to infant feeding such as this will repay the attention it deserves. N. G. NORGAIV BSc, PhD, CBiol
Decision Making in Trauma Management: A Multidisciplinary Approach By Mary Mancini and Jorie Klein B. C. Decker Inc., Philadelphia, 1991.438 pages. Price f29.50 This book proposes a multidisciplinary approach to the management of trauma and is aimed at personnel involved in the treatment and care of patients following trauma. Algorithims are used to construct an easy to follow format with clear points of ‘decision management’, supported by narrative information which provides expansion and explanation of the rationale for the decisions made and highlights further reference material. The book is divided into five main sections: prehospital care, which covers management at the scene of an acrident through to dispatch to hospital; recusitation and stabilisation, which considers specific trauma management using a regional in.juries approach; stabilisation and supportive care, which examines the management of problems following initial assessment and treatment, for example septic shock and acute renal failure; rehabilitation, which covers long-term management programmes including spinal cord injury and the burn injured patient; and, finally. procedures, which discusses specific investigations and treatments. Written by American medical and nursing staff its approach is understandably linked to the systems of treatment and management of that country and therefore has limited application in the l_lnited Kingdom. Within the UK training in trauma management for nursing, medical and paramedical staff is increasingly following the guidelines of the American College of Surgeons. Advanced Trauma Life Support Courses and whilst similarities exist between the two text it would seem inappropriate to promote the usage of both books. This one may provide an additional reference source within the Accident and Emergency Department. However as this text considers the long term management of the trauma patient and includes a procedures/investigations chapter it should prove to be a particularly useful addition to the libraries of units, departments and wards in which these patients are nlirsed. RGN, ENB
LYNNE HARRISON 100, ONC, Cert Ed 187
BOOK REVIEWS
Infant Feeding: The Physiological Basis By J. Akre (Ed) WHO, Geneva, 1989. 108 pages. Supplement 67, 1989, lof the Bulletin of the World Organization
to Vol. Health
An adequate diet is more important in the first few years of life than at any other time. This review brings together the latest scientific information on physiological development during the prenatal period and the first years of life and their implications for infant feeding. The book has six main chapters. The first is devoted to the prenatal and immediate post-partum period and examines the physiological mechanism that operates in pregnancy and post-partum concerns such as the effects of anaesthetics or drugs and the importance of immediate contact between mother and infant after birth. The second covers human lactation, including the mechanisms by which breast milk confers protection against infection and allergies, and why breast milk is ideally suited to the infant’s developmental needs and metabolic abilities. Health factors which may interfere with breast-feeding, such as congenital and hereditary disorders, maternal illness, including infection with HIV, and drug therapy are considered next. Chapter Four considers complementary feeding in relation to the infant’s development and the short and long-term risks of early introduction. The special nutritional needs of the low birth weight infant arising from rapid growth and developmental immaturity are considered in Chapter Five and those during acute infections in Chapter Six. The report also has three annexes: a check list for evaluating the adequacy of support for breast-feeding m maternity hospitals, wards and clinics; guidelines on studying weaning practises and suggested further reading. ‘This last is supported by a total of over 500 references. The book is written clearly and concisely. It has no index bur the detailed contents page and liberal use of sub-headings mean it is easy to use. It is intended mainly for general practitioners, obstetricians, pediatricians, midwifes, nutritionists, nurses and those in schools of public health. As nurses may at any one time be involved with each of these and as knowledge on nutritional needs and their priority in intensive care is inadequate, an account of the physiological basis to infant feeding such as this will repay the attention it deserves. N. G. NORGAIV BSc, PhD, CBiol
Decision Making in Trauma Management: A Multidisciplinary Approach By Mary Mancini and Jorie Klein B. C. Decker Inc., Philadelphia, 1991.438 pages. Price f29.50 This book proposes a multidisciplinary approach to the management of trauma and is aimed at personnel involved in the treatment and care of patients following trauma. Algorithims are used to construct an easy to follow format with clear points of ‘decision management’, supported by narrative information which provides expansion and explanation of the rationale for the decisions made and highlights further reference material. The book is divided into five main sections: prehospital care, which covers management at the scene of an acrident through to dispatch to hospital; recusitation and stabilisation, which considers specific trauma management using a regional in.juries approach; stabilisation and supportive care, which examines the management of problems following initial assessment and treatment, for example septic shock and acute renal failure; rehabilitation, which covers long-term management programmes including spinal cord injury and the burn injured patient; and, finally. procedures, which discusses specific investigations and treatments. Written by American medical and nursing staff its approach is understandably linked to the systems of treatment and management of that country and therefore has limited application in the l_lnited Kingdom. Within the UK training in trauma management for nursing, medical and paramedical staff is increasingly following the guidelines of the American College of Surgeons. Advanced Trauma Life Support Courses and whilst similarities exist between the two text it would seem inappropriate to promote the usage of both books. This one may provide an additional reference source within the Accident and Emergency Department. However as this text considers the long term management of the trauma patient and includes a procedures/investigations chapter it should prove to be a particularly useful addition to the libraries of units, departments and wards in which these patients are nlirsed. RGN, ENB
LYNNE HARRISON 100, ONC, Cert Ed 187