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May 13, 1974


Author Affiliations

Brown University Providence, RI

JAMA. 1974;228(7):909. doi:10.1001/jama.1974.03230320069047

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This is the 13th in a series of monographs on Problems in Clinical Surgery, edited by J. Engelbert Dunphy. The material in this volume is developed largely from the experience of the authors in the very active Trauma Unit of the Parkland Memorial Hospital and the University of Texas Southwestern Medical School, in Dallas. They have made detailed studies of shock in critically injured patients and in hypovolemic animals. The data obtained from these studies and concepts derived from them form the major portion of the presentation.

A brief introductory section provides a classification and review of clinical physiologic manifestations of shock. The major section of the volume is devoted to the pathophysiologic responses to traumatic and hemorrhagic shock. A chapter on "Extracellular Fluid" provides an excellent review of their extensive studies of the changes in distribution of interstitial and intracellular fluid with hypovolemia. A useful, although brief, chapter is