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Trauma: practical application of recent advances
  1. P A Evans
  1. Leicester

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    British Medical Bulletin vol 55, no 4. Edited by David W Yates. (Pp 947; £34.95). Royal Society of Medicine Press, 1999. ISBN 1-85315-440-7.

    In his book the editor has given an overview of the varied nature of trauma and its effect on the individual and society. He has complemented this with individual chapters on specific injuries and their management where scientific advances have improved treatment and outcome as determined by evidence based practice.

    Throughout the book, whether dealing with individual body system trauma, multiple casualties or the consequences of trauma, the need is highlighted for an organisational approach to trauma care with the development of strategies to deal with injury and its associated complications. In the relevant chapters there is discussion on the underlying biological mechanisms involved in injury and healing with reference to outcome. However, a comprehensive understanding is not possible within the scope of this book.

    The chapters on epidemiology, which show its still depressing trends in association with resource allocation, injury prevention, comorbid factors and injury in the aging population complemented the book. Many of these subjects are often neglected or poorly written and it was refreshing to note that these were included.

    The specialised chapters on trauma care were well written and interesting despite their specialist nature. Although of minimal interest to the generalist, they would be a valuable asset for those people who have to treat specific injuries.

    In these times when the trauma epidemic shows no signs of cessation, and with an increase in the aging populations who are susceptible not only to injury but to the consequences of injury, there is a need for both accident prevention and development of rehabilitation. This has been covered comprehensively in this book.

    Overall the editor has succeeded in covering trauma in a global fashion, taking the reader through the prehospital phase, through acute management and into the field of rehabilitation in an interesting way. He has combined the historical, developmental and factual components in a descriptive evidence based manner to make this book both interesting and informative reading.

    In this current atmosphere of resource allocation, prioritisation of care and risk management, those clinicians who practice evidence based medicine will find this book extremely useful.

    This book would be useful for either trainees or consultants involved in the management of trauma care.

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