Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for new media
edited by James R. Roberts and Jerris R. Hedges, 3rd ed, 1297 pp, with illus, $150, ISBN-0-7216-6055-X, Philadelphia, Pa, WB Saunders, Co, 1998.
By the time a "how to" text reaches its third edition, there is no doubt that it has been well received by its intended audience. It is the authors' challenge to convince the same audience of the need to purchase a new edition 7 years later. New products have become commonplace (eg, ZeroWet Splashshield), but have there been that many new techniques introduced that emergency physicians would be remiss if they did not read this edition?
Roberts and Hedges already had a comprehensive, heavily illustrated, very practical textbook that was packed with references and the latest science. They took an already great book and decided to go one better. If the goal is to communicate with emergency physicians about performing procedures in the trenches, why not go into the trenches and record what is happening and how best to approach the latest, generally pressing problems? Most often, surgeons, anesthesiologists, and the like receive cooperative patients who have fasted, are not intoxicated, and whose comorbid conditions have been fully analyzed and stabilized. The operating theater is a controlled environment where time, though important, is not always the enemy. Contrast that scenario with Saturday night in the city with multiple patients requiring a physician's immediate attention, if not intervention, and the rationale for the third edition is logical. Many chapters have been rewritten by experienced emergency physicians who have added unique insights and tricks of the trade. How refreshing!
Emergency Medicine ProceduresClinical Procedures in Emergency Medicine. JAMA. 1998;279(15):1223-1224. doi:10.1001/jama.279.15.1223