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March 1967

Early Management of Acute Trauma.

Arch Otolaryngol. 1967;85(3):350. doi:10.1001/archotol.1967.00760040352033

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This is an excellent multiple-authored text written for the physician who is concerned with and responsible for the earliest care of patients who have sustained acute trauma. Emphasis has been placed upon measures to recussitate and maintain patients without a detailed examination of definitive surgical procedures, and for this reason, apart from Bauer's chapter on emergency airway and ventilation and Nauhm's chapter on maxillofacial injuries, there is little text specifically pertinent to otolaryngology. For the most part acute trauma to otolaryngologic structures may be handled after the early management is completed; consequently, such discussion falls outside the scope of the book. However, certain aspects of fractures through the temporal bone, especially the interrelation of facial nerve injury, hearing loss, and cerebrospinal fluid otorrhea, has been neglected (except for a brief mention of cerebrospinal fluid leak in Stern's chapter on craniocerebral injuries) and should be considered for the next edition.

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