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Manual of Common Bedside Surgical Procedures (Books) by Herbert Chen

Written by the Halsted Residents at Johns Hopkins Hospital, the book covers

most of the common bedside procedures any surgical, IM or ER resident may encounter. Many handbooks cover a few of these topics (ie, nasogastric intubation, urinary catheterization,sutures, etc.) but not nearly in depth as does Chen's work. From Airway Management,through vascular access procedures, lumbar punctures, splinting to needle biopsies and joint injections the book covers everything well.

Each procedure includes:

-indications for the procedure -contraindications -anesthesia needed (if any) -equipment ( I LOVE having a "shopping list" handy when I'm doing procedures) -patient positioning -step by step technique instructions -complications and management after the procedure

Several of the procedures also have graphics to aid in the positioning of the device,incision site,or relevant anatomy.

The book does provide a cautionary warning in the Preface that experience and knowledge cannot be replaced by simply following directions in a book. Despite this statement, I was suprised that some of more highly specialized procedures did not contain enough information about the difficulty or the suitability for a house officer. For example, when the vermillion border of the lip is disrupted, a 1 mm error in matching up the edges is visible to the naked eye. Because of this and the potential for scarring on the face, most surgical residents I know prefer to leave such procedures to Plastic Surgeons and/or their residents. It would perhaps be prudent for some of the more specialized and/or potentially troublesome procedures to include mention of the pitfalls and the possible need for consultation.

All in all, the book is a valuable resource for the fresh resident and I would recommend it to anyone doing a surgical, medicine, or emergency medicine residency as an asset to their book collection.

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