by Emil A. Naclerio, 383 pp, 158 illus by Margaret Cosgrove and Frank H. Netter, $28.50, New York: Grune & Stratton, Inc., 1971.
This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
This lucid presentation of the pathophysiology, diagnosis, and treatment of chest injuries is entirely clinical in approach, by an author who has treated more than 5,000 chest-injured patients. While he provides a bibliography, he does not in the text refer to these papers. Instead, to stress an important principle, he draws on his experience or uses cases representing an error in management. For example, a patient died, expectorating and drowning in blood thought secondary to bullet wounds of the chest and head. At necroscopy, the nasopharynx was found to be the only bleeding source. Conclusion: "Simple postnasal packing would have averted death."
The reader is first exposed to several excellent color illustrations by Frank Netter. A clear, practical discussion of all pertinent basic sciences follows, aimed primarily at the medical student. Standard bedside procedures such as nasotracheal suction or intercostal drainage techniques are then explained. A lengthy section on problems
Marty A. Chest Injuries: Physiologic Principles and Emergency Management. JAMA. 1971;218(8):1307. doi:10.1001/jama.1971.03190210161045