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Article
August 14, 1967

The Management of Head Injuries

Author Affiliations

US Navy

 

by Walpole Lewin, 318 pp, 113 illus, $13.75, London: Baillière, Tindall & Cassell (Baltimore: Williams & Wilkins Co.), 1966.

JAMA. 1967;201(7):569. doi:10.1001/jama.1967.03130070089046

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Abstract

With warmth and practicality, this new book presents its British author's experience in the management of patients with head injuries. Neither a collection of theories nor a compendium of case reports, the volume is lucidly written and clearly illustrated in the best English tradition.

Specifically, the author has provided many surgical suggestions, including the recognition of epidural hematomas in "unusual" areas (ie, not necessarily in the middle fossa underlying a fracture crossing the middle meningeal vessels); the value of hydrogen peroxide, applied topically, in stopping capillary oozing; and the absolute necessity for postoperative skull x-ray films to ascertain how completely bone fragments have been removed after compound fractures of the skull or missile wounds of the brain. A splendidly written section discusses the value and variety of intrathecal antibiotics used for the treatment of intracranial infections.

An opinion held by Mr. Lewin is somewhat at variance with that held by

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