June 21, 1976

Clinical Evaluation of the Critically Injured

Author Affiliations

Pennsylvania State University Milton S. Hershey Medical Center Hershey


by E. Truman Mays, 458 pp, with illus, Springfield, Ill, Thomas, 1975.

JAMA. 1976;235(25):2770. doi:10.1001/jama.1976.03260510058033

This well-conceived book furnishes concise guidance in evaluating critically injured patients. It should find wide acceptance by those responsible for training programs in surgery and emergency medicine, as well as for emergency department practitioners. The book appropriately fits the fine reputation in trauma care enjoyed by the University of Louisville.

The purpose of the book is well served by the avoidance of therapeutic considerations except where needed to preserve life. Inclusion of definitive treatment would require a much larger book that would detract from the conciseness desirable in one designed for ready reference in emergency situations.

The chapters on wounding forces and physiologic concomitants of injury, enhanced by excellent bibliographies, afford excellent background information in the understanding of traumatic injury.

Chapter 12 covers evaluation by operation, a concept belatedly recognized as reasonable. Covered here are problems for which clinical acumen or testing are insufficient to make clearcut decisions regarding indication