Top Knife

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Almost all of the landmark books on surgical techniques for the 
treatment of battlefield injury, going back as far as Pare in the 1500's 
and Morel in the 1600', present some form of rudimentary 'evidence' to 
support their recommendations..... yet this one presents not even one 
reference. Hmmm..... Interesting.

Gord

Claudia Teles wrote:

>Dear Gordon,
>
>EBM is the least thing you?ll think about after reading it.The title should
>be:How to get yourself out of trouble inside a trauma OR.
>The book is about BIG TROUBLE.I mean BIG - cardiac ruptures, dillacerated
>organs, perforated lungs and bleeding vessels hiding in unaccessible abdominal
>corners, in half dead multiple trauma patients, you see? The kinda thing
>that brings me a cold sweat only to mention...it?s thrilling .
>There?s no time to think about EBM when you have an exploded liver melting
>in your hands in a crashed blood pooled abdomen, and you have to pack it
>and make a good sandwich out of it or you?ll have to pull the ziper over
>the patient?s body few moments later...the stitches don?t work, it?s all
>melting and the pressure is lowering and you need to keep your coronaries
>blood flow TIMI 3.. and encourage your OR team, with  only one scrub nurse,
>and you have only one chance to ask for the right thing to make the bleeding
>stop, and do your best for your adrenalin doesn?t make you
>undergo arrest before the patient, you see? 
>REAL fun.
>Like at those no-speed-limit bike rides  - EBM in this case is a
>useless helmet.Skills and strategic thinking are the key to succeed.
>Take a look at it, if you don?t have any risk factors for CAD, of course,
>and then, if you survive the experience, tell us your opinion.
>
>
>
>
>claudia
>
>
> '>'-- Mensagem Original --
> '>'Date: Wed, 13 Oct 2004 12:26:30 +1000
> '>'From: "Gordon S. Doig" <gdoig at med.usyd.edu.au>
> '>'To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
> '>'Cc: trauam-l at lists.aast.org, ccm-l at ccm-l.org
> '>'Subject: Re: Top Knife
> '>'Reply-To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
> '>'
> '>'
> '>'
> '>'Excellent. In this age of technology and science it is heartening to
>
> '>'hear that surgical texts still don't require unimportant things such
>as
> '>'proof.
> '>'
> '>'Gordon
> '>'
> '>'Mohamed al Malik wrote:
> '>'
> '>'>WOW    You are not going to believe it.    I just bought the most incrediable
> '>'trauma book I have ever seen.  I am at the American College of Surgeons
>Clinical
> '>'Congress in New Orleans.    In the exhibit hall, I just purchased a
>book
> '>'by Dr. Asher Hirshberg and Dr. Kenneth Mattox called Top Knife for $38.25
> '>'convention promotion prices.    It is a convienient paperback size,
>with
> '>'238 pages and 170 illustrations.
> '>'>
> '>'>This book reads different from any medical book I have ever read.
> It is
> '>'practical, without references and none of the heavy science and theory.
>
> '>' It is written just as if I were in the operating room on a tough case,
>with
> '>'all the sounds of bleeding and smell of feces.
> '>'>
> '>'>I am buying a copy for each of the surgical residents that rotate through
> '>'our private hospital here in Los Angeles for Christmas.    They will
>love
> '>'me forever.
> '>'>
> '>'>The web site for on line purchase of theis book is www.tfmpublishing.com
> '>'.
> '>'>
> '>'>Mo
> '>'>
> '>'>
> '>'>
> '>'>---------------------------------
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> '>'>
> '>'>
> '>'>
> '>'
> '>'--
> '>'-------------
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> '>'
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>  
>

-- 
-------------
Evidence-based Decision Making http://www.EvidenceBased.net
Patient-based Teaching Cases http://www.AcademicHealthScience.net/ce
Outcomes Research http://www.AcademicHealthScience.net/UM
RNSH ICU Home Page http://icu-web.org

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