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Product Description:
Award-winning photographer Eugene Richards was asked by a magazine to report on what happens inside a typical emergency room. Once inside, he took photograps, talked with doctors and nurses and made friends with paramedics. He discovered a world he never knew existed. The Knife And Gun Club is the fascinating account of his exploration of emergency room medicine. Serial in LIFE magazine.
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Average Rating : 
Rating : - Things haven't changed much at all ..
I am a nurse practitioner who has worked in trauma centers (mostly inner-city ones) for more than 20 years. "The Knife and Gun Club" was not only a trip down memory lane for me but also a decent reflection of the trauma business as it still occurs across the US -- the only really obsolete material in the book is the technology.
We have a higher success rate with really severe injuries now because the science has advanced, but unfortunately the social and economic forces that created the Friday Night Knife and Gun Club have not abated. Rather, they've increased, so the Club now meets every night in most cities in the US, with penetrating trauma (from knives, guns, ice picks, screwdrivers, etc.) increasing for the past 20 years.
If I were to recreate this book in the current system, the only thing I would add is the impact of 48 million uninsured and the change in hospital emergency departments as they have become primary care providers for those uninsured. These are the people who wait for 8, 12, 16 hours to see an ED provider because they cannot afford to see someone before an illness becomes serious.
Richards' book is (and deserves to be) a classic.
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