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This book provides a practical guide to decision making within the realm of trauma surgery. Each chapter covers the ideal approach, rather than customary care, for the treatment of the chosen difficult decision or controversy. A broad range of topics are covered with particular attention given to resuscitation, wound management, thoracic and abdominal trauma, antimicrobial management, transplant considerations, vascular trauma, traumatic brain injury, pediatric trauma and ethics.Difficult Decisions in Trauma Surgeryaims to help improve the treatment of trauma patients and is relevant to...

During the Battle of Perryville, fought in Kentucky in October 1862, participants experienced an unusual phenomenon known as an acoustic shadow: this peculiar combination of wind and terrain muffled the sounds of the fighting in such a manner that nearby soldiers were unaware that the battle was even taking place. As the editors of this pioneering collection of essays observe, a figurative acoustic shadow has long fallen on the study of the Civil War in Appalachia. Regional stereotypes, cursory generalizations, and a neglect of geographic context have too often replaced detailed analysis and...