Surgical Decision Making

Arch Surg. 1987;122(1):123-124. doi:10.1001/archsurg.1987.01400130129032.
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The second edition of Surgical Decision Making is in reality more of a new text than one expects in the usual second edition. Many of the authors are new but have effectively learned to "play the game" of developing algorithms and decision trees in their contributions.

The text is generally well done and presents an approach to surgical disease that is widely applied by those providing surgical care. The unique quality of the text is the written description of the surgeons' thought processes. For the young surgeon or the experienced surgeon looking for information about a disease with which he is not familiar, the text provides a succinct reference source.

As with all texts, intense scrutiny will disclose deficiencies. An example is the failure to identify tension pneumothorax in the section on shock while including cardiac tamponade, which is probably less common. Reference to intraoperative coagulation disorders would be a


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