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Burn Unit: Saving Lives After the Flames [Format Kindle]

Barbara Ravage

Prix conseillé : EUR 12,65 De quoi s'agit-il ?
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Descriptions du produit

From Publishers Weekly

Science writer Ravage delivers a fascinating and unflinching look behind the scenes at the nationally acclaimed burn unit of Boston's Massachusetts General Hospital. The reader is warned early on that the unit is "no place for the squeamish," and the book details numerous examples of the hard work that its doctors and nurses must perform, such as the excision of dead skin that "comes off like peels of rubber cement." But Ravage is never gratuitously graphic, and she displays solid research and reporting skills in presenting the historical and the personal sides of burn injuries. She provides an excellent historical context to the development of burn treatments, from Boston's infamous Cocoanut Grove fire of 1942 through last year's fire at a Rhode Island music club. She also uses the experiences of two former burn patients and their families (names changed at their request) to show in detail how doctors and nurses treat horrific burns. Her greatest success is in interweaving these two sides, such as her explanation of how ideas have evolved in the areas of respiratory injury, shock and the surface treatment of burn wounds, which brings the reader much closer to truly understanding what the patients endure. This is an enlightening look at an important area of hospital care.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From the New England Journal of Medicine, January 6, 2005

Burn Unit is a well-written, ingenious book on the cause of burns and the pathophysiology and clinical course of patients who have sustained severe burn injury. The author describes the "burn disease" through the clinical care of two patients: one had a rather small, partial-thickness injury of 10 percent of the body that involved the face and hands, and the other had a moderately severe burn of 35 percent and required skin grafting of the face and upper extremities. Each chapter describes the clinical care of the two patients and includes the thoughts and concerns of family members as well as those of the members of the burn team. These personal aspects are preceded or followed by detailed and accurate descriptions of the history and pathophysiology of resuscitation after burn shock, infection, wound healing, and other topics. These sections are written informally, but the details are accurate, informative, and enjoyable to read, and they flow smoothly from the care of the two patients to the science of burn disease. Although Burn Unit describes care at the Burn and Trauma Center at Massachusetts General Hospital in Boston, the author repeatedly describes the controversies associated with the management of the burn injuries and the alternatives to the treatment that each patient received. This is not a "burn survivor" book but, rather, a well-written textbook on burn injuries. Because the information is presented in an understandable, detailed way, it would be well worth reading not only by all members of a burn team but also by burn victims and their families. The history of burns, as presented here, is remarkably detailed and comprehensive, and this alone makes the book worth reading. Essentially, Burn Unit is a textbook written from the perspectives of the patient, the family, and the members of the burn team. It should become required reading for new as well as experienced burn specialists. Glenn D. Warden, M.D.
Copyright © 2005 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

Détails sur le produit

  • Format : Format Kindle
  • Taille du fichier : 1131 KB
  • Nombre de pages de l'édition imprimée : 322 pages
  • Editeur : Da Capo Press; Édition : 1 (27 avril 2009)
  • Vendu par : Amazon Media EU S.à r.l.
  • Langue : Anglais
  • ASIN: B00AAL1NS2
  • Synthèse vocale : Activée
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  • Composition améliorée: Activé
  • Classement des meilleures ventes d'Amazon: n°546.412 dans la Boutique Kindle (Voir le Top 100 dans la Boutique Kindle)
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Amazon.com: 4.7 étoiles sur 5  22 commentaires
14 internautes sur 14 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 FROM A BURN PATIENT'S SPOUSE TO ANYONE 27 septembre 2005
Par Miami Bob - Publié sur Amazon.com
Format:Relié|Achat vérifié
On August 3, my wife was burned in central Anatolia. On August 15, we med-vaced her to the United States. On September 1, I bought this book. On September 20, I received the book. I was so rapt by the writing that I finished this book in two days. Understand, my wife was in the hospital at the time. Reading was not a priority. I visited my wife daily while I ran a family and my own business.

Sometimes a writer's capabilities can so overwhelm the topic. A good writer can make the worst topics readable. Burns, sores, sepsis, pain, and scars are what I neither care to read about nor wish others to read about. The sterile black ink on the white pages cannot deliver the sensations to you of the stench associated with the dead skin, nor show you the grotesque complexity of the red and yellow skin which bleeds easily and often.

I no more would ask a person to experience what my family has lived the past few months, than I would ask them to clean my plumbing. Burns are a horrible topic which Ms. Ravage has managed to make less horrible.

I used this book for something more than enjoyment. The doctors' mouths, often as clasped as the arteries of their surgical patients, tell little to the patients' family, and when they speak, the language is too often cliched with inexplicables and nondeterminatives. This book answered questions, told me what to look forward to, and outlined what to anticipate. This was my "Burn Patients' Questions for Dummies." But, written well.

I cringed. I cried. I swallowed hard. And, at times, I had to leave the book. The writng and insight were as razor sharp as the scalpels discussed and referenced in the portion discussing grafting.

Good work Ms. Ravage! You helped a great deal. I can only tell others in my predicament, read this book. And, after you read the book, you will feel better about what there is looming in the slowly progressing and little discussed world of burns.
5 internautes sur 5 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Accurate, Insightful, Informative and well researched. 19 décembre 2004
Par pedxing - Publié sur Amazon.com
Ms. Ravage's book focuses on the Burn Unit at Mass General Hospital, but in the course of providing the context for the current Burn Unit she weaves together several narratives. First, she offers an informative and well-written account of the history of burns and burn treatment from ancient times to modern. Additionally she describes the course of the severe burn injury, the series of shocks severe burns provide to the system and the medical interventions that have been developed in order to allow the burn patient to survive these shocks. Tied to her medical-scientific discussion are profiles of the people who make the Burn Unit work, and accounts of two patients who were treated by them. These case studies are based in large part on interviews with the patients and their families.

As a Burn Survivor who spent two months in the MGH Burn Unit not long after this book came out, I can vouch for its accuracy in depicting the unit, the staff, the course of treatment and many of the key issues facing burn survivors. Not everything I have read on the topic has held my interest, but this book did.
4 internautes sur 4 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Fascinating - impossible to put down! 15 juin 2004
Par Amelia Hard - Publié sur Amazon.com
Being neither a medical professional nor a burn survivor, I didn't expect to be completely fascinated by this book, but I was - once I started reading it, I really couldn't put it down until I'd finished it.
Ms. Ravage's skill in weaving together vivid details of life in the burn unit with overviews of burn science reminded me of one of my favorite writers, John McPhee. Like McPhee, she's able to take a subject the reader knows little about and within a few pages make that subject completely riveting. She also has McPhee's rare ability to illuminate her subject from every possible angle: this book covers the history of burn treatments, stories of some of the most deadly U.S. fires, how the human body responds to burns, the heroic daily work of burn doctors and nurses - and, most unforgettably, the hell endured by recovering burn patients. I was especially impressed by how perfect Ms. Ravage's tone was throughout the book: the scientific passages are easily understandable but not dumbed-down, and the descriptions of the emotionally-charged interactions among the burn unit staff , the patients, and their families are unforgettably moving without a hint of sentimentality.
Despite the grimness of the subject, this book leaves you feeling wonderfully inspired by what ordinary people are capable of: unbelievable courage, endurance, devotion, and compassion.
4 internautes sur 4 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Burn Unit 9 novembre 2005
Par Brown - Publié sur Amazon.com
This book is exceptional. It goes into details and explains what happens to the burn victim's body and why it happens. I would recommend this book to medical students...but is also a good read to those not in the medical field. It has a story like flow and is presented in a very interesting way that captures your attention.
3 internautes sur 3 ont trouvé ce commentaire utile 
4.0 étoiles sur 5 Fascinating, informative 15 juin 2004
Par Karen McAuley - Publié sur Amazon.com
Format:Relié|Achat vérifié
This is a powerful book, packed with information about the history of burn treatment, the structure and nature of skin, medical techniques, how the body heals and what it takes to work in the demanding field of burn care. The personal stories of the physicians, nurses, inventors, patients and their families sparkle with life.
At times, I must admit, I became impatient with the structure of the book, the deep dives into details about historic fires or what felt like more information than I wanted to know about a particular medical technique. I longed to get back to what was happening with the people who came to feel like my patients, my staff.
The wonderful thing is that Barbara Ravage can make you feel so intimately connected to the people she interviewed, the scenes she witnessed. You sense her driving curiosity and fascination. She makes descriptions of complicated information such as the body's responses to burns or difficult medical procedures vivid and clear. Sometimes her analogies will even make you smile.
I plan to recommend this book to several friends.
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