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December 15, 1956

The Initial Management of Thoracic and Thoraco-Abdominal Trauma

JAMA. 1956;162(16):1507. doi:10.1001/jama.1956.02970330079037

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The background of this monograph is the experiences of the author during World War II. The author discusses resuscitation, thoracic wounds, thoracoabdominal wounds, wounds of the thoracic wall, and closed thoracic and thoracoabdominal trauma and includes illustrative cases. Resuscitation of the patient is foremost in the author's planned program of treatment. The pathogenesis, physiology, and pathological findings are emphasized. The author warns against panicky decisions and against stampedes to the operating room. As surgeons gained experience in the battle zone, fewer thoracotomies were performed. Technical considerations were intentionally omitted from the book. Preference was given to discussing the indications for, and the timing of, surgical operations. The illustrations and line drawings are well placed, graphic and clear and carry easily understood legends. The bibliography is up-to-date and authoritative. The illustrative cases are unusually illuminating; they represent each type of injury discussed in the monograph. With the increases in automotive travel

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