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Burn Unit: Saving Lives After the Flames, by Barbara Ravage
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“A compelling blend of science, history and storytelling. Barbara Ravage has fashioned an enlightening, invaluable book.” —Stewart O’Nan, author of The Circus Fire: A True Story of an American TragedyThough each of us is just a spark away from being a burn victim, the public knows little and understands less about the world that patients inhabit. Pulling the curtains back on this private and sterile environment, Burn Unit is a riveting account of the frontline efforts—both modern-day and historical—to save lives devastated by fire. With unflinching urgency, Barbara Ravage follows an extraordinary team of healers at Massachusetts General Hospital, the cradle of modern burn treatment and the site of one of the best burn units in the world. From Boston’s Cocoanut Grove fire of 1942 to the treatment of the victims of the Rhode Island nightclub fire in early 2003, we watch everyday heroes do their incredible but punishing work against the backdrop of history. Both a moving human drama and an engrossing scientific exploration of this little-known field of medicine, Burn Unit is an unforgettably powerful read.
- Sales Rank: #178455 in Books
- Published on: 2005-05-04
- Released on: 2005-05-03
- Original language: English
- Number of items: 1
- Dimensions: 9.44" h x .73" w x 5.99" l, .86 pounds
- Binding: Paperback
- 320 pages
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
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.
From Booklist
Ever since that moment in the distant past when someone bit into the first tasty morsel of roasted meat,^B humans have endeavored to make friends with fire, with generally satisfying but conspicuously incomplete success. For the 45,000 admitted to hospital burn units annually, it is a friendship that has gone very bad. Science and medicine writer Ravage examines how far the medical community has come in its efforts to save and salvage the lives of such burn victims, suffering both from obvious wounds and others that may appear superficial but actually can often be systemic and life threatening, psychologically as well as physically. Amid sensitive, sometimes graphic portrayals of the lives and near-death experiences of two burn victims, from the moment fire first touched their skin to postrecovery status, and moving portraits of burn unit staffers, Ravage recounts historic fire tragedies and traces the variety of treatment options often employed in the quest to treat and understand the full scope of fire injuries. Donna Chavez
Copyright � American Library Association. All rights reserved
Most helpful customer reviews
16 of 16 people found the following review helpful.
FROM A BURN PATIENT'S SPOUSE TO ANYONE
By Miami Bob
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.
3 of 3 people found the following review helpful.
Fascinating, informative
By Karen McAuley
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.
4 of 4 people found the following review helpful.
Fascinating - impossible to put down!
By Amelia Hard
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.
See all 23 customer reviews...
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