Prehospital emergency care

362

Injury: the British Journal of Accident Surgery (1987) Vol. 18/No. 5

Clinical Care and Pathop~ysiology. J. David Richardson, Hiram C. Polk, Jr. and Lewis M. Flint. 259~ lX2mm. Pp. xii+SY7. lY87. London: Year Book Medical Publishers (Distr. Wolfe Medical). fh2410. Hardback.

The Arterial Anatomy of Skin Flaps. George C’. C‘ormack, B.

Half

anatomical

Trauma:

of this volume

ia devoted

to the basic physiology

including

pathology

of injury.

metabolic

and burn pathology

hone

healing.

to all systems except for skeletal correct

clinical

relation

half

of the

to injuries

of skeletal

repair

encompasses

volumes

cart

and

and whilst it is there

is ;I

to be dealt with

of other systems particularly

ing policy for the care of muitipl~ Within

book

injury

to leave this for other

need for the principles

respiratory,

as well as wound

injury

probably

The

cardiovascular,

and

injured

in

in formula-

the clinical chapters there is an overview of injury to detail\

are not possible within the space used. The authors believe in the multispecialty the

team approach

coordinator/team

leader:

chapters and the skills required is the only viable approach

with the general surgeon as

the

diverse

injuries

in later

to treat them confirm that this

as no single paragon

can any longer hope to acquire

such breadth

of a doctor

of knowledge

personally. Small additional

chapters on organization, through

major

‘Angio-tome’

~le~~rtments

morals and legal

The introduction understanding

the skin which is a difficult from

both for those who need to study basic patht,but also as an outline of the principles

Good

body

references

systems as practised arc

available

and D.

L. Edbrooke.

Wright.

f7.50.

contributors

with

Care Series).

216Xl%mm.

of the vessels is dealt

section

for a clinician

of

amount

irritating

is a difficult ~~bbreviati(?ns

scattered

through

above most clinicians and below most physiologists.

It doe\,

it and the discussion is pitched

however,

interesting

have a wealth

is stimulating

and up-to-date

with prostaglandins. Three

of references,

at a level

raises many

questions and the clinical section on delay of flaps with copious references

dealing

free radicals and free radical scavengers.

chapters then follow,

tnusculocutaneous

each chapter describing one of

and fasciocutaneous

Regional detail

occasionally

editorial

irritations.

each

tion of text and diagrams.

Pp. 304.

1986.

to cot’er the subject of cart’ in one volume.

text could

are covered

for the ambulanceman

of information for

the

given

student

of

fairly super~ci~~l~~ and the first-aider.

is insufficient

nurse

be the basis of simple

Throughout

the procedures

or

medical

reading

management

of treatment

conditions

when

the United

in developing by those

principles Kingdom

paramedical

early

most

part

but

in the form of spatial separa-

intrude.

Some of the diagrams are

line-drawing

overlays might have been beneficial

as are some of the radiographs.

and

in this chap-

I feel. has been exces-

the use of radiographs,

Gve. The final chapter on vascular territories once

more

copious

order this chapter, separate supplying

student,

problem.

in their

with

of early hospital lags behind

other

care this book will be

who wants to further

extended his know-

ledge. K. M. POI
references

~~Iph~Ibetic~ll use of the blood

chapter

are clearly made,

~imbul~~ncemen colnlnencing

and the first-aider

are

based

once again, in great

in the

to orientate

to be a

are included.

a time

diagrams

very diffcult

and the planning of

The

muscle flap with

it into different has

its

clinical

own

for

each

vessel supplying

makes it completely

a regional

index

and does

to

However. overcome

dealt

with

and,

the this as

this book is not a dissection manual for

the aspiring flap surgeon.

However,

articles are presented

in each case.

This well-indexed

book is a major

references to the original reference

skin‘s blood supply and its clinical applications. would he of great value to reconstructive with an interest

The

than one vessel

parts of the chapter. extensive

flap.

the Hap, to

noIi-regional more

raising of Raps is briefly

stated by the authors.

and for some common

These

with their reviews of

blood supply is then covered.

in a

S. .I.

supplies,

with good illustrations

work together

good

training.

training

physiological

probably

copious

Softback. have comhincd

hy necessity.

though adequately

welcomed

The

and again

to read with

with

for par~ltnedic~~l staff it covers a vast number

subjects which,

At

diagrams. with

tlaps covers the subject well with good diagrams and text and

clinical aspects of pre-h(~spital emergency

countries

to the

section to read and would have

adequate

control

ter. Overall.

Prehospital Emergency Care (Emergency

definitive

more

other works.

centre.

though

background

section on the structure of the blood vessels and lymphatics of

in injury

.I. Pl.t.wl.\

The

gives a good historical

in

of the blood supply of the skin. There follows a

will be a useful ~idditi(~ll to libraries

chapter.

Designed

of the

skin together with the clinical relevance of this supply the use of flaps in reconstructing tissue defects.

dealt with in depth and clearly.

of the different

Bristol:

survey

aspects of blood supply to the

of major

logy and physiology

Nineteen

Hardback.

is an exhaustive

and physiological

on the authors’ extensive

This book

Mather

Pp. 455. IYXh. Edin-

f12S-00.

not the organization

disasters.

major

This

2x1 x224mm.

Livingstonc.

the major sources of blood supply to the skin. namely direct,

aspects are included

treatment

burgh: Churchill

benefited

patients.

each system but of necessity c~~mprehensive treatment

Cieorge and H. Lamberty.

work on the and as such it

surgeons and those

in the atiat~~rny and physiology

of the skin.

J. D. NANC.AKR~)M